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NEWSLETTER | DECEMBER 2019
INSIDE3 ESSKA President David Dejour
says Thank you
4 ESSKA Speciality Days 2019
was a great success
12 19th ESSKA Congress
6-9 May 2020 in Milan Italy
24 ESSKA Members
General Assembly 2020
32 Creativity and Hard Work
the Two Main Pillars of ESSKA
51 Romain Seil What it is like
to be a Travelling Fellow and then
a Travelling Fellowships Godfather
2
ESSKA NEWSLETTER | 12 19
3
ESSKA NEWSLETTER | 12 19
Special thanks
We would like to thank the
Corporate Partners of ESSKA for
their continuous support of our
educational and scientific activities
We would also like to acknowledge
ESSKA supporters
All these organisations generously support our ultimate goal of increasing the quality of life of patients
Want to become an ESSKA Corporate Partner Please contact ESSKArsquos Corporate Relations Manager Rik Bollaert bollaertrikesskaorg
EDITORS
ROLAND BECKER (Germany) ndash 2nd Vice-President
OCTAV RUSSU (Romania) ndash Under 45 (U45) Chairman
ESSKA BOARD
DAVID DEJOUR (France) ndash President
JACQUES MENETREY (Switzerland) ndash 1st Vice-President
ROLAND BECKER (Germany) ndash 2nd Vice-President
ROMAIN SEIL (Luxembourg) ndash Past President
MICHAEL HANTES (Greece) ndash General Secretary
JOAN C MONLLAU (Spain) ndash Vice General Secretary
HEacuteLDER PEREIRA (Portugal) ndash Treasurer
MARTIN LIND (Denmark) ndash Educational Secretary
MUSTAFA KARAHAN (Turkey) ndash ESSKA Academy Editor
JAMES CALDER (United Kingdom) ndash ESSKA-AFAS Chairman
NANNE KORT (The Netherlands) ndash ESSKA-EKA Chairman
GIUSEPPE MILANO (Italy) ndash ESSKA-ESA Chairman
HENRIQUE JONES (Portugal) ndash ESSKA-ESMA Chairman
ESSKA COMMITTEES
VINCENZO CONDELLO (Italy) ndash Arthroscopy
PABLO GELBER (Spain) ndash Arthroscopy
LAURA DE GIROLAMO (Italy) ndash Basic Science
PETER ANGELE (Germany) ndash Cartilage
MARTIN LIND (Denmark) ndash Education
PAOLO ARRIGONI (Italy) ndash Elbow and Wrist
FILIPPO RANDELLI (Italy) ndash Hip Arthroscopy
ROLAND BECKER (Germany) ndash Nominating
ROMAIN SEIL (Luxembourg) ndash Nominating
MATT DAWSON (United Kingdom) ndash Osteotomy
PETRI SILLANPAumlAuml (Finland) ndash Patellofemoral Instability
OCTAV RUSSU (Romania) ndash Under 45 (U45)
THE ESSKA NEWSLETTER
is a quarterly publication of the European Society
of Sports Traumatology Knee Surgery and Arthroscopy
ESSKA welcomes members to submit suggestions
and contribute articles for our Newsletter
wwwesskaorg
ESSKA
EXECUTIVE OFFICE LUXEMBOURG
Centre Meacutedical
76 rue drsquoEich
L ndash 1460 Luxembourg
Phone +352 4411 7026
Fax +352 4411 7678
e-mail infoesskaorg
With more than 800 participants and 26 supporting companies the first ever ESSKA Speciality Days was a tremendous experience and a great success This NEW format aimed to be as innovative interactive and dynamic as possible and we certainly achieved this We fulfilled our goal of bringing together the four distinct programmes under one roof yet unifying them at key points during the day This spirit of collaboration knowledge sharing and networking formed the heart of the affectionately-named lsquoScience Soukrsquo the location of the exhibition and the Hot Topic debates which was the dynamic centre of action of the Speciality Days Busy dynamic and fun it was the place to be
We are proud to have created this new format and to have shaken up the way we communicate We intend to keep this concept at the heart of all future Speciality Days and to continue to raise excellence in our field
I would like to say a huge GRACIAS to all those who attended and made this event memorable and unforgettable
We look ahead to the next big event on our calendars ESSKA Congress in MILAN 2020 and mark you calendars for Speciality Days 2021 in Warsaw
The ESSKA Board wants to say
Speciality Days = Super Delegates
= Supportive and Dedicated partners
AFAS
EKA
ESA
ESMA
David Dejour
ESSKA President
A HUGE Thank-You to all those who worked so hard to make this first ESSKA Speciality Days such a great success We would particularly like to thank
A big thank-you to the Board of Reviewers who supported the abstract review process
AFAS
ESA
EKA
ESMA
Statistics
21Exhibitors and Partners
132ePosters
238Abstracts
123Presentations
5Hot Topic Debates
214Speakers
800Delegates
James Calder
Giuseppe Milano
Henrique Jones
AFASScientific
Programme Chairs
EKAScientific
Programme Chairs
ESAScientific
Programme Chairs
ESMAScientific
Programme Chairs
Heacutelder Pereira
Ladislav Kovačić
Werner Krutsch
Danieumll Haverkamp
Nuno Gomes
Hermann Mayr
Frank Martetschlaumlger
JacquesMenetrey
Nanne Kort
Michael Hirschmann
James Calder
Nanne Kort
Henrique Jones
Giuseppe Milano
ESSKA SECTION Chairs
AFAS AFASESA
EKA ESMA
ESA
EKA
ESMA
More pictures at wwwesskaorggallery
ESSKA would like to sincerely thank Smith amp Nephew for their support and participation in Specialty Days
ESSKA would like to sincerely thank DePuy Synthes for their support and participation in Specialty Days
ESSKA would like to sincerely thank Zimmer Biomet for their support and participation in Specialty Days
ESSKA would like to sincerely thank Arthrex for their support and participation in Specialty Days
ESSKA would like to sincerely thank Stryker for their support and participation in Specialty Days
Hot Topic Debates
Rotator cuff repair pro and cons of biological augmentation
Subacromial spacer in the treatment of massive and irreparable rotator cuff tears Scientific fact or fiction
Suture the meniscus Yes or no
Attune TKR ndash Mechanical Alignment vs Anatomical Alignment
Use of Internal Brace
Premiertrade Total Knee InstrumentationVanguardreg Complete Knee System
Surgical Technique
AFAS
ESA
EKA
ESMA
AFAS
ESA
EKA
ESMA
Premiertrade Total Knee InstrumentationVanguardreg Complete Knee System
Surgical Technique
ESSKA would like to thank the following partners
AFAS
ESA
EKA
ESMA
Firstkind
ESSKA would like to thank the following exhibitors for their participation in Specialty Days
Mad-up PeekMed
Symbios Orthopeacutedie
Alphanorm
Lima Corporate
Game Ready
NeoligamentsInion
Medacta International
Regen Lab
Conmed
Corin
Episurf Medical
VirtaMed
AFAS
ESA
EKA
ESMACongratulations to our Scientific Award winners
AFAS Top Scored AbstractErnst Orthner
EKA Top Scored AbstractLukas Moser
ESA Top Scored AbstractLucca Lacheta
ESMA Top Scored AbstractPanagiotis Kouloumentas
AFAS Most Viewed E-posterApostolos Polyzos
ESMA Most Viewed E-posterVahdet Uccedilan
EKA Most Viewed E-posterJure Serdar
ESA Most Viewed E-posterAlexandra Pokorny-Olsen
AFAS
ESA
EKA
ESMA
See you in Warsaw5 mdash 6 N O V E M B E R
SAVE THE DATE
5 ndash 6 November 2021 | See you in Warsaw
Congratulations to ESA for winning the overall prize of Best Section Performance
ESSKA Section Award winner
18
ESSKA NEWSLETTER | 12 19
19
ESSKA NEWSLETTER | 12 19
ESSKA-AFAS News
Race to Milan
JAMES CALDERESSKA-AFAS Chairman
I would like to sincerely thank all those involved in ESSKArsquos First Speciality Days event that took place in Madrid on the 8-9 November Daniel Haverkamp as the scientific chairman put a great AFAS Section programme together providing ample time for discussion and we succeeded in moving away from the usual lecture-based format to promote debate amongst our ldquoexpertsrdquo and the audience Prof Alastair Younger flew in from Vancouver and delivered some great talks based on his wealth of experience The ldquoHot-Topicrdquo debate was held between Prof Bill Ribbans (UK) and Mike Butler (UK) in support of the routine use for the Internal Bracereg for lateral ligament reconstruction pitched against Alastair Younger and myself Alastairrsquos team was unanimously declared as the winner by me (The audience were swayed in the direction of considering the brace more frequently in specific situations and therefore from a democratic point of view perhaps we losthellip) It proved interesting to see how a didactic (black and white) approach to a complex problem may lead to those with very firmly held views recognising the other sidersquos point of view This is something I would like to encourage in future meetings
The following take home messages stood outfrom the meeting
Cartilage bull Deal with instability at same time as OCLbull Larger lesions ndash AOTS can work wellbull Tibial plafond lesions have variable outcome following microfracturebull Biologics ndash still not known (could some be detrimental)
Biologics bull We need studies before their use can be justified routinelybull Some biologics may be beneficial but some actually may cause more problems
bull We need standardised reporting of constituents and outcomes from PRPBMAc and perhaps this is something AOFAS and AFAS could collaborate on in the future
Syndesmosisbull Use the tools to make diagnosisbull CT to check reduction if screw fixationbull Reconstruction if late diagnosisbull Consider repair superficial deltoid (need evidence)
Arthritis in sportbull Excise osteophytes for ant impingementbull Fusions can workbull Ankle replacements
Away from the scientific content it was a great occasion to catch up and socialise with friends and colleagues ndash Madrid is such a great venue for food and nightlife It seemed a shame that it was interrupted so early on Friday and Saturday morning by some important lectures
In addition to the main programme we also held an AFAS board meeting and the members meeting in advance of the ESSKA congress that will take place in Milan in May 2020 Following proposals from members and then a vote Chris Pearce has been announced as the next vice-chairman of AFAS to take over from Daniel Haverkamp as he takes up my position in May 2020 We have also put together a scientific programme for the ESSKA congress in Milan based upon the feedback and suggestions from AFAS members
As to future education events the ldquoAll Aboutrdquo ankle cadaveric meeting in Munich takes place in December and I will report on this in the next issue A further cadaveric AFAS course has been agreed for 2020 and I will provide details on this in the new year The Ankle Instability Group
is holding an AFAS Members meeting in Ashville USA in June 2020 Peter Mangone is hosting the meeting and will forward details to all members over the forthcoming months (picture and map of location below)
The Achilles Tendon Study Group is organising a consensus and AFAS members meeting in 2021 in St Petersburg ndash the date is yet to be confirmed However Mike Carmont will relay this to you as soon as it is finalised We plan to run it as a 3 day course from Wed-Fri
AFAS is running for Science and please join in free from home
Winner gets a prizeFastest runner gets a prize
(At the moment there seems to be one AFAS member who may be using a bike judging by how far ahead he is)
ESSKA-AFASRun to Milan
20
ESSKA NEWSLETTER | 12 19
21
ESSKA NEWSLETTER | 12 19
ESSKA-ESA continues to thrive As expected ESSKArsquos Speciality Days gave us an opportunity to share ideas and future projects with ESSKArsquos other Sections as well as to take stock in one of the most contentious topics of modern shoulder surgery the management of massive rotator cuff tearsA few decades ago the goal of shoulder surgery was any kind of functional improvement over the pre-operative condition Nowadays technological advancements in diagnosis and treatment options as well as a better understanding of biology and biomechanics have set the bar much higher The main goal nowadays is a successful functional result and a full biological healing when joint preserving options are suitableHowever treatment of massive cuff tears remains a challenge Higher re-tear rates and low functional results are still commonly reported in the literature after open or arthroscopic repairs Up to now this is one of the worst reverses for shoulder surgery Dozens of surgical options have been reported but therersquos still no consensus about treating a massive cuff tear to avoid a re-tear Indeed the situation is even more confused when it comes to treating massive cuff re-tears Therefore ESA felt that some focus on the problem was needed And ESSKArsquos Speciality Days seemed to be a perfect opportunity A detailed programme was prepared It started by defining massive cuff tear then passed to biologic enhancement options conservative as well as surgical strategies and rehabilitation in both scenarios up to clarification of the demarcation line between joint preserving options and shoulder replacement and finally concluded by understanding how to manage failure even after a reverse shoulder arthroplasty Intense discussions after these sessions and case presentations made for a successful meeting ESSKArsquos Speciality Days allowed ESA to assemble the most experienced European shoulder surgeons in a stunning location But what really made the difference was the active participation of ESA members In his conclusive speech Dr Nuno Gomes pointed out that the contents of presentations and discussions were remarkable especially taking into account the relevance of the
issues addressed A definitive conclusion on the best treatment modality in treating massive cuff tears probably cannot be drawn yet However ESSKA Speciality Days showed us a wide variety of viable surgical techniques concluding that the best option is up to now probably related to patientrsquos functional demand and surgeonrsquos experienceESArsquos Programme Chairmen are deeply grateful to all members who joined the meeting in Madrid and took an active part in the scientific sessions Moreover the ESA board is proud to announce that ESA section has been awarded as ldquothe best ESSKA section performance 2019rdquo Nevertheless the ESSKA Speciality Days also represented a unique moment to celebrate talent creativity and commitment of members who strongly supported our social media activities during the last year The winner of the first ldquoESA Social Media Awardrdquo was Dr Adrian Blasiak All contributors also received a special mention ldquoBest ESA research paperrdquo was assigned to Dr Lucca Lacheta ESArsquos mission is to provide the best help for young as well as experienced shoulder surgeons to keep enhancing their clinical and surgical skills by keeping ahead of developments As a scientific body ESA plays a role of the utmost importance in education and professional networking We hoped to have achieved this in Madrid If you missed this opportunity but want to play your part in shoulder surgery please donrsquot forget to visit the ESA website and Facebook page and then join us
ESSKA-EKA Highlightsfrom the Speciality Days in Madrid
The topic of this yearrsquos EKA Speciality days was Alignment in Total Knee Arthroplasty The scientific programme started with imaging modalities and analysis techniques for the measurement of lower limb alignment ranging from X-rays to CT and MRI The debate on the controversial topic of anatomical mechanical versus kinematic individualised alignment in TKA followed We still do not know what the best alignment method is for our patients moreover we still do not know if the newer alignment techniques result in superior patient outcomes compared to the classical mechanical alignment The next focus of the meeting was alignment in a high tibial osteotomy and distal femur osteotomy which included a combination of classical and new techniques and the addition of ligament reconstruction to HTO and patient-specific saw guides The afternoon symposia covered sagittal coronal and rotational alignment of TKA components The second day started with the symposium on how to ensure the correct alignment in the digital era focusing on digital planning patient-specific instrumentation and robotics In addition to the symposia and the innovative Hot Topic Debate lively discussions took place in the free paper sessions across a variety of topics ranging from HTO to TKA and roboticsSeveral take-home messages emerged from the discus-sions Although plain radiographs and 2D imaging are the cornerstones of measuring and analysing alignment
advanced imaging techniques such as CT EOS MRI and SPECT provide additional information to better achieve the desired alignment and to evaluate painful TKAMechanical alignment is still the main goal for most surgeons however other philosophies such as kinematic anatomic and individualized alignment may improve midterm patient outcomes without an increase in wear and loosening rates in select patients without significant deformity and bone loss Although there are no precise cut off points there are safe zones for implant alignment and the focus should be on preserving the soft tissue envelope aiming for a more natural knee New technologies such as PSI CAS robotics and accelerometer-based inserts may increase the accuracy of alignment in all three planes however the effect of increased accuracy on patient outcomes is still controversial Despite advances in technology the surgeon is still the most crucial factor in ensuring the best outcome for our patients and finally No the machines are not taking over our orthopaedic expertise (at least not yet)Many thanks go to our faculty and highlight speakers for their time and effort in making this first Speciality Days a memorable scientific event Special thanks to our members and delegates who filled the largest auditorium in the congress centre from 715am and contributed to the lively discussions We look forward to the 2021 edition in Warsaw
NANNE KORTESSKA-EKA Chairman
REHA N TANDOGANESSKA-EKA Secretary
ESSKA-ESA Highlightsfrom the Speciality Days in Madrid
GIUSEPPE MILANOESSKA-ESA Chairman
22
ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
42
ESSKA NEWSLETTER | 12 19
43
ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
44
ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
46
ESSKA NEWSLETTER | 12 19
47
ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA NEWSLETTER | 12 19
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Special thanks
We would like to thank the
Corporate Partners of ESSKA for
their continuous support of our
educational and scientific activities
We would also like to acknowledge
ESSKA supporters
All these organisations generously support our ultimate goal of increasing the quality of life of patients
Want to become an ESSKA Corporate Partner Please contact ESSKArsquos Corporate Relations Manager Rik Bollaert bollaertrikesskaorg
EDITORS
ROLAND BECKER (Germany) ndash 2nd Vice-President
OCTAV RUSSU (Romania) ndash Under 45 (U45) Chairman
ESSKA BOARD
DAVID DEJOUR (France) ndash President
JACQUES MENETREY (Switzerland) ndash 1st Vice-President
ROLAND BECKER (Germany) ndash 2nd Vice-President
ROMAIN SEIL (Luxembourg) ndash Past President
MICHAEL HANTES (Greece) ndash General Secretary
JOAN C MONLLAU (Spain) ndash Vice General Secretary
HEacuteLDER PEREIRA (Portugal) ndash Treasurer
MARTIN LIND (Denmark) ndash Educational Secretary
MUSTAFA KARAHAN (Turkey) ndash ESSKA Academy Editor
JAMES CALDER (United Kingdom) ndash ESSKA-AFAS Chairman
NANNE KORT (The Netherlands) ndash ESSKA-EKA Chairman
GIUSEPPE MILANO (Italy) ndash ESSKA-ESA Chairman
HENRIQUE JONES (Portugal) ndash ESSKA-ESMA Chairman
ESSKA COMMITTEES
VINCENZO CONDELLO (Italy) ndash Arthroscopy
PABLO GELBER (Spain) ndash Arthroscopy
LAURA DE GIROLAMO (Italy) ndash Basic Science
PETER ANGELE (Germany) ndash Cartilage
MARTIN LIND (Denmark) ndash Education
PAOLO ARRIGONI (Italy) ndash Elbow and Wrist
FILIPPO RANDELLI (Italy) ndash Hip Arthroscopy
ROLAND BECKER (Germany) ndash Nominating
ROMAIN SEIL (Luxembourg) ndash Nominating
MATT DAWSON (United Kingdom) ndash Osteotomy
PETRI SILLANPAumlAuml (Finland) ndash Patellofemoral Instability
OCTAV RUSSU (Romania) ndash Under 45 (U45)
THE ESSKA NEWSLETTER
is a quarterly publication of the European Society
of Sports Traumatology Knee Surgery and Arthroscopy
ESSKA welcomes members to submit suggestions
and contribute articles for our Newsletter
wwwesskaorg
ESSKA
EXECUTIVE OFFICE LUXEMBOURG
Centre Meacutedical
76 rue drsquoEich
L ndash 1460 Luxembourg
Phone +352 4411 7026
Fax +352 4411 7678
e-mail infoesskaorg
With more than 800 participants and 26 supporting companies the first ever ESSKA Speciality Days was a tremendous experience and a great success This NEW format aimed to be as innovative interactive and dynamic as possible and we certainly achieved this We fulfilled our goal of bringing together the four distinct programmes under one roof yet unifying them at key points during the day This spirit of collaboration knowledge sharing and networking formed the heart of the affectionately-named lsquoScience Soukrsquo the location of the exhibition and the Hot Topic debates which was the dynamic centre of action of the Speciality Days Busy dynamic and fun it was the place to be
We are proud to have created this new format and to have shaken up the way we communicate We intend to keep this concept at the heart of all future Speciality Days and to continue to raise excellence in our field
I would like to say a huge GRACIAS to all those who attended and made this event memorable and unforgettable
We look ahead to the next big event on our calendars ESSKA Congress in MILAN 2020 and mark you calendars for Speciality Days 2021 in Warsaw
The ESSKA Board wants to say
Speciality Days = Super Delegates
= Supportive and Dedicated partners
AFAS
EKA
ESA
ESMA
David Dejour
ESSKA President
A HUGE Thank-You to all those who worked so hard to make this first ESSKA Speciality Days such a great success We would particularly like to thank
A big thank-you to the Board of Reviewers who supported the abstract review process
AFAS
ESA
EKA
ESMA
Statistics
21Exhibitors and Partners
132ePosters
238Abstracts
123Presentations
5Hot Topic Debates
214Speakers
800Delegates
James Calder
Giuseppe Milano
Henrique Jones
AFASScientific
Programme Chairs
EKAScientific
Programme Chairs
ESAScientific
Programme Chairs
ESMAScientific
Programme Chairs
Heacutelder Pereira
Ladislav Kovačić
Werner Krutsch
Danieumll Haverkamp
Nuno Gomes
Hermann Mayr
Frank Martetschlaumlger
JacquesMenetrey
Nanne Kort
Michael Hirschmann
James Calder
Nanne Kort
Henrique Jones
Giuseppe Milano
ESSKA SECTION Chairs
AFAS AFASESA
EKA ESMA
ESA
EKA
ESMA
More pictures at wwwesskaorggallery
ESSKA would like to sincerely thank Smith amp Nephew for their support and participation in Specialty Days
ESSKA would like to sincerely thank DePuy Synthes for their support and participation in Specialty Days
ESSKA would like to sincerely thank Zimmer Biomet for their support and participation in Specialty Days
ESSKA would like to sincerely thank Arthrex for their support and participation in Specialty Days
ESSKA would like to sincerely thank Stryker for their support and participation in Specialty Days
Hot Topic Debates
Rotator cuff repair pro and cons of biological augmentation
Subacromial spacer in the treatment of massive and irreparable rotator cuff tears Scientific fact or fiction
Suture the meniscus Yes or no
Attune TKR ndash Mechanical Alignment vs Anatomical Alignment
Use of Internal Brace
Premiertrade Total Knee InstrumentationVanguardreg Complete Knee System
Surgical Technique
AFAS
ESA
EKA
ESMA
AFAS
ESA
EKA
ESMA
Premiertrade Total Knee InstrumentationVanguardreg Complete Knee System
Surgical Technique
ESSKA would like to thank the following partners
AFAS
ESA
EKA
ESMA
Firstkind
ESSKA would like to thank the following exhibitors for their participation in Specialty Days
Mad-up PeekMed
Symbios Orthopeacutedie
Alphanorm
Lima Corporate
Game Ready
NeoligamentsInion
Medacta International
Regen Lab
Conmed
Corin
Episurf Medical
VirtaMed
AFAS
ESA
EKA
ESMACongratulations to our Scientific Award winners
AFAS Top Scored AbstractErnst Orthner
EKA Top Scored AbstractLukas Moser
ESA Top Scored AbstractLucca Lacheta
ESMA Top Scored AbstractPanagiotis Kouloumentas
AFAS Most Viewed E-posterApostolos Polyzos
ESMA Most Viewed E-posterVahdet Uccedilan
EKA Most Viewed E-posterJure Serdar
ESA Most Viewed E-posterAlexandra Pokorny-Olsen
AFAS
ESA
EKA
ESMA
See you in Warsaw5 mdash 6 N O V E M B E R
SAVE THE DATE
5 ndash 6 November 2021 | See you in Warsaw
Congratulations to ESA for winning the overall prize of Best Section Performance
ESSKA Section Award winner
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA-AFAS News
Race to Milan
JAMES CALDERESSKA-AFAS Chairman
I would like to sincerely thank all those involved in ESSKArsquos First Speciality Days event that took place in Madrid on the 8-9 November Daniel Haverkamp as the scientific chairman put a great AFAS Section programme together providing ample time for discussion and we succeeded in moving away from the usual lecture-based format to promote debate amongst our ldquoexpertsrdquo and the audience Prof Alastair Younger flew in from Vancouver and delivered some great talks based on his wealth of experience The ldquoHot-Topicrdquo debate was held between Prof Bill Ribbans (UK) and Mike Butler (UK) in support of the routine use for the Internal Bracereg for lateral ligament reconstruction pitched against Alastair Younger and myself Alastairrsquos team was unanimously declared as the winner by me (The audience were swayed in the direction of considering the brace more frequently in specific situations and therefore from a democratic point of view perhaps we losthellip) It proved interesting to see how a didactic (black and white) approach to a complex problem may lead to those with very firmly held views recognising the other sidersquos point of view This is something I would like to encourage in future meetings
The following take home messages stood outfrom the meeting
Cartilage bull Deal with instability at same time as OCLbull Larger lesions ndash AOTS can work wellbull Tibial plafond lesions have variable outcome following microfracturebull Biologics ndash still not known (could some be detrimental)
Biologics bull We need studies before their use can be justified routinelybull Some biologics may be beneficial but some actually may cause more problems
bull We need standardised reporting of constituents and outcomes from PRPBMAc and perhaps this is something AOFAS and AFAS could collaborate on in the future
Syndesmosisbull Use the tools to make diagnosisbull CT to check reduction if screw fixationbull Reconstruction if late diagnosisbull Consider repair superficial deltoid (need evidence)
Arthritis in sportbull Excise osteophytes for ant impingementbull Fusions can workbull Ankle replacements
Away from the scientific content it was a great occasion to catch up and socialise with friends and colleagues ndash Madrid is such a great venue for food and nightlife It seemed a shame that it was interrupted so early on Friday and Saturday morning by some important lectures
In addition to the main programme we also held an AFAS board meeting and the members meeting in advance of the ESSKA congress that will take place in Milan in May 2020 Following proposals from members and then a vote Chris Pearce has been announced as the next vice-chairman of AFAS to take over from Daniel Haverkamp as he takes up my position in May 2020 We have also put together a scientific programme for the ESSKA congress in Milan based upon the feedback and suggestions from AFAS members
As to future education events the ldquoAll Aboutrdquo ankle cadaveric meeting in Munich takes place in December and I will report on this in the next issue A further cadaveric AFAS course has been agreed for 2020 and I will provide details on this in the new year The Ankle Instability Group
is holding an AFAS Members meeting in Ashville USA in June 2020 Peter Mangone is hosting the meeting and will forward details to all members over the forthcoming months (picture and map of location below)
The Achilles Tendon Study Group is organising a consensus and AFAS members meeting in 2021 in St Petersburg ndash the date is yet to be confirmed However Mike Carmont will relay this to you as soon as it is finalised We plan to run it as a 3 day course from Wed-Fri
AFAS is running for Science and please join in free from home
Winner gets a prizeFastest runner gets a prize
(At the moment there seems to be one AFAS member who may be using a bike judging by how far ahead he is)
ESSKA-AFASRun to Milan
20
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA-ESA continues to thrive As expected ESSKArsquos Speciality Days gave us an opportunity to share ideas and future projects with ESSKArsquos other Sections as well as to take stock in one of the most contentious topics of modern shoulder surgery the management of massive rotator cuff tearsA few decades ago the goal of shoulder surgery was any kind of functional improvement over the pre-operative condition Nowadays technological advancements in diagnosis and treatment options as well as a better understanding of biology and biomechanics have set the bar much higher The main goal nowadays is a successful functional result and a full biological healing when joint preserving options are suitableHowever treatment of massive cuff tears remains a challenge Higher re-tear rates and low functional results are still commonly reported in the literature after open or arthroscopic repairs Up to now this is one of the worst reverses for shoulder surgery Dozens of surgical options have been reported but therersquos still no consensus about treating a massive cuff tear to avoid a re-tear Indeed the situation is even more confused when it comes to treating massive cuff re-tears Therefore ESA felt that some focus on the problem was needed And ESSKArsquos Speciality Days seemed to be a perfect opportunity A detailed programme was prepared It started by defining massive cuff tear then passed to biologic enhancement options conservative as well as surgical strategies and rehabilitation in both scenarios up to clarification of the demarcation line between joint preserving options and shoulder replacement and finally concluded by understanding how to manage failure even after a reverse shoulder arthroplasty Intense discussions after these sessions and case presentations made for a successful meeting ESSKArsquos Speciality Days allowed ESA to assemble the most experienced European shoulder surgeons in a stunning location But what really made the difference was the active participation of ESA members In his conclusive speech Dr Nuno Gomes pointed out that the contents of presentations and discussions were remarkable especially taking into account the relevance of the
issues addressed A definitive conclusion on the best treatment modality in treating massive cuff tears probably cannot be drawn yet However ESSKA Speciality Days showed us a wide variety of viable surgical techniques concluding that the best option is up to now probably related to patientrsquos functional demand and surgeonrsquos experienceESArsquos Programme Chairmen are deeply grateful to all members who joined the meeting in Madrid and took an active part in the scientific sessions Moreover the ESA board is proud to announce that ESA section has been awarded as ldquothe best ESSKA section performance 2019rdquo Nevertheless the ESSKA Speciality Days also represented a unique moment to celebrate talent creativity and commitment of members who strongly supported our social media activities during the last year The winner of the first ldquoESA Social Media Awardrdquo was Dr Adrian Blasiak All contributors also received a special mention ldquoBest ESA research paperrdquo was assigned to Dr Lucca Lacheta ESArsquos mission is to provide the best help for young as well as experienced shoulder surgeons to keep enhancing their clinical and surgical skills by keeping ahead of developments As a scientific body ESA plays a role of the utmost importance in education and professional networking We hoped to have achieved this in Madrid If you missed this opportunity but want to play your part in shoulder surgery please donrsquot forget to visit the ESA website and Facebook page and then join us
ESSKA-EKA Highlightsfrom the Speciality Days in Madrid
The topic of this yearrsquos EKA Speciality days was Alignment in Total Knee Arthroplasty The scientific programme started with imaging modalities and analysis techniques for the measurement of lower limb alignment ranging from X-rays to CT and MRI The debate on the controversial topic of anatomical mechanical versus kinematic individualised alignment in TKA followed We still do not know what the best alignment method is for our patients moreover we still do not know if the newer alignment techniques result in superior patient outcomes compared to the classical mechanical alignment The next focus of the meeting was alignment in a high tibial osteotomy and distal femur osteotomy which included a combination of classical and new techniques and the addition of ligament reconstruction to HTO and patient-specific saw guides The afternoon symposia covered sagittal coronal and rotational alignment of TKA components The second day started with the symposium on how to ensure the correct alignment in the digital era focusing on digital planning patient-specific instrumentation and robotics In addition to the symposia and the innovative Hot Topic Debate lively discussions took place in the free paper sessions across a variety of topics ranging from HTO to TKA and roboticsSeveral take-home messages emerged from the discus-sions Although plain radiographs and 2D imaging are the cornerstones of measuring and analysing alignment
advanced imaging techniques such as CT EOS MRI and SPECT provide additional information to better achieve the desired alignment and to evaluate painful TKAMechanical alignment is still the main goal for most surgeons however other philosophies such as kinematic anatomic and individualized alignment may improve midterm patient outcomes without an increase in wear and loosening rates in select patients without significant deformity and bone loss Although there are no precise cut off points there are safe zones for implant alignment and the focus should be on preserving the soft tissue envelope aiming for a more natural knee New technologies such as PSI CAS robotics and accelerometer-based inserts may increase the accuracy of alignment in all three planes however the effect of increased accuracy on patient outcomes is still controversial Despite advances in technology the surgeon is still the most crucial factor in ensuring the best outcome for our patients and finally No the machines are not taking over our orthopaedic expertise (at least not yet)Many thanks go to our faculty and highlight speakers for their time and effort in making this first Speciality Days a memorable scientific event Special thanks to our members and delegates who filled the largest auditorium in the congress centre from 715am and contributed to the lively discussions We look forward to the 2021 edition in Warsaw
NANNE KORTESSKA-EKA Chairman
REHA N TANDOGANESSKA-EKA Secretary
ESSKA-ESA Highlightsfrom the Speciality Days in Madrid
GIUSEPPE MILANOESSKA-ESA Chairman
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ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA NEWSLETTER | 12 19
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
A HUGE Thank-You to all those who worked so hard to make this first ESSKA Speciality Days such a great success We would particularly like to thank
A big thank-you to the Board of Reviewers who supported the abstract review process
AFAS
ESA
EKA
ESMA
Statistics
21Exhibitors and Partners
132ePosters
238Abstracts
123Presentations
5Hot Topic Debates
214Speakers
800Delegates
James Calder
Giuseppe Milano
Henrique Jones
AFASScientific
Programme Chairs
EKAScientific
Programme Chairs
ESAScientific
Programme Chairs
ESMAScientific
Programme Chairs
Heacutelder Pereira
Ladislav Kovačić
Werner Krutsch
Danieumll Haverkamp
Nuno Gomes
Hermann Mayr
Frank Martetschlaumlger
JacquesMenetrey
Nanne Kort
Michael Hirschmann
James Calder
Nanne Kort
Henrique Jones
Giuseppe Milano
ESSKA SECTION Chairs
AFAS AFASESA
EKA ESMA
ESA
EKA
ESMA
More pictures at wwwesskaorggallery
ESSKA would like to sincerely thank Smith amp Nephew for their support and participation in Specialty Days
ESSKA would like to sincerely thank DePuy Synthes for their support and participation in Specialty Days
ESSKA would like to sincerely thank Zimmer Biomet for their support and participation in Specialty Days
ESSKA would like to sincerely thank Arthrex for their support and participation in Specialty Days
ESSKA would like to sincerely thank Stryker for their support and participation in Specialty Days
Hot Topic Debates
Rotator cuff repair pro and cons of biological augmentation
Subacromial spacer in the treatment of massive and irreparable rotator cuff tears Scientific fact or fiction
Suture the meniscus Yes or no
Attune TKR ndash Mechanical Alignment vs Anatomical Alignment
Use of Internal Brace
Premiertrade Total Knee InstrumentationVanguardreg Complete Knee System
Surgical Technique
AFAS
ESA
EKA
ESMA
AFAS
ESA
EKA
ESMA
Premiertrade Total Knee InstrumentationVanguardreg Complete Knee System
Surgical Technique
ESSKA would like to thank the following partners
AFAS
ESA
EKA
ESMA
Firstkind
ESSKA would like to thank the following exhibitors for their participation in Specialty Days
Mad-up PeekMed
Symbios Orthopeacutedie
Alphanorm
Lima Corporate
Game Ready
NeoligamentsInion
Medacta International
Regen Lab
Conmed
Corin
Episurf Medical
VirtaMed
AFAS
ESA
EKA
ESMACongratulations to our Scientific Award winners
AFAS Top Scored AbstractErnst Orthner
EKA Top Scored AbstractLukas Moser
ESA Top Scored AbstractLucca Lacheta
ESMA Top Scored AbstractPanagiotis Kouloumentas
AFAS Most Viewed E-posterApostolos Polyzos
ESMA Most Viewed E-posterVahdet Uccedilan
EKA Most Viewed E-posterJure Serdar
ESA Most Viewed E-posterAlexandra Pokorny-Olsen
AFAS
ESA
EKA
ESMA
See you in Warsaw5 mdash 6 N O V E M B E R
SAVE THE DATE
5 ndash 6 November 2021 | See you in Warsaw
Congratulations to ESA for winning the overall prize of Best Section Performance
ESSKA Section Award winner
18
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA-AFAS News
Race to Milan
JAMES CALDERESSKA-AFAS Chairman
I would like to sincerely thank all those involved in ESSKArsquos First Speciality Days event that took place in Madrid on the 8-9 November Daniel Haverkamp as the scientific chairman put a great AFAS Section programme together providing ample time for discussion and we succeeded in moving away from the usual lecture-based format to promote debate amongst our ldquoexpertsrdquo and the audience Prof Alastair Younger flew in from Vancouver and delivered some great talks based on his wealth of experience The ldquoHot-Topicrdquo debate was held between Prof Bill Ribbans (UK) and Mike Butler (UK) in support of the routine use for the Internal Bracereg for lateral ligament reconstruction pitched against Alastair Younger and myself Alastairrsquos team was unanimously declared as the winner by me (The audience were swayed in the direction of considering the brace more frequently in specific situations and therefore from a democratic point of view perhaps we losthellip) It proved interesting to see how a didactic (black and white) approach to a complex problem may lead to those with very firmly held views recognising the other sidersquos point of view This is something I would like to encourage in future meetings
The following take home messages stood outfrom the meeting
Cartilage bull Deal with instability at same time as OCLbull Larger lesions ndash AOTS can work wellbull Tibial plafond lesions have variable outcome following microfracturebull Biologics ndash still not known (could some be detrimental)
Biologics bull We need studies before their use can be justified routinelybull Some biologics may be beneficial but some actually may cause more problems
bull We need standardised reporting of constituents and outcomes from PRPBMAc and perhaps this is something AOFAS and AFAS could collaborate on in the future
Syndesmosisbull Use the tools to make diagnosisbull CT to check reduction if screw fixationbull Reconstruction if late diagnosisbull Consider repair superficial deltoid (need evidence)
Arthritis in sportbull Excise osteophytes for ant impingementbull Fusions can workbull Ankle replacements
Away from the scientific content it was a great occasion to catch up and socialise with friends and colleagues ndash Madrid is such a great venue for food and nightlife It seemed a shame that it was interrupted so early on Friday and Saturday morning by some important lectures
In addition to the main programme we also held an AFAS board meeting and the members meeting in advance of the ESSKA congress that will take place in Milan in May 2020 Following proposals from members and then a vote Chris Pearce has been announced as the next vice-chairman of AFAS to take over from Daniel Haverkamp as he takes up my position in May 2020 We have also put together a scientific programme for the ESSKA congress in Milan based upon the feedback and suggestions from AFAS members
As to future education events the ldquoAll Aboutrdquo ankle cadaveric meeting in Munich takes place in December and I will report on this in the next issue A further cadaveric AFAS course has been agreed for 2020 and I will provide details on this in the new year The Ankle Instability Group
is holding an AFAS Members meeting in Ashville USA in June 2020 Peter Mangone is hosting the meeting and will forward details to all members over the forthcoming months (picture and map of location below)
The Achilles Tendon Study Group is organising a consensus and AFAS members meeting in 2021 in St Petersburg ndash the date is yet to be confirmed However Mike Carmont will relay this to you as soon as it is finalised We plan to run it as a 3 day course from Wed-Fri
AFAS is running for Science and please join in free from home
Winner gets a prizeFastest runner gets a prize
(At the moment there seems to be one AFAS member who may be using a bike judging by how far ahead he is)
ESSKA-AFASRun to Milan
20
ESSKA NEWSLETTER | 12 19
21
ESSKA NEWSLETTER | 12 19
ESSKA-ESA continues to thrive As expected ESSKArsquos Speciality Days gave us an opportunity to share ideas and future projects with ESSKArsquos other Sections as well as to take stock in one of the most contentious topics of modern shoulder surgery the management of massive rotator cuff tearsA few decades ago the goal of shoulder surgery was any kind of functional improvement over the pre-operative condition Nowadays technological advancements in diagnosis and treatment options as well as a better understanding of biology and biomechanics have set the bar much higher The main goal nowadays is a successful functional result and a full biological healing when joint preserving options are suitableHowever treatment of massive cuff tears remains a challenge Higher re-tear rates and low functional results are still commonly reported in the literature after open or arthroscopic repairs Up to now this is one of the worst reverses for shoulder surgery Dozens of surgical options have been reported but therersquos still no consensus about treating a massive cuff tear to avoid a re-tear Indeed the situation is even more confused when it comes to treating massive cuff re-tears Therefore ESA felt that some focus on the problem was needed And ESSKArsquos Speciality Days seemed to be a perfect opportunity A detailed programme was prepared It started by defining massive cuff tear then passed to biologic enhancement options conservative as well as surgical strategies and rehabilitation in both scenarios up to clarification of the demarcation line between joint preserving options and shoulder replacement and finally concluded by understanding how to manage failure even after a reverse shoulder arthroplasty Intense discussions after these sessions and case presentations made for a successful meeting ESSKArsquos Speciality Days allowed ESA to assemble the most experienced European shoulder surgeons in a stunning location But what really made the difference was the active participation of ESA members In his conclusive speech Dr Nuno Gomes pointed out that the contents of presentations and discussions were remarkable especially taking into account the relevance of the
issues addressed A definitive conclusion on the best treatment modality in treating massive cuff tears probably cannot be drawn yet However ESSKA Speciality Days showed us a wide variety of viable surgical techniques concluding that the best option is up to now probably related to patientrsquos functional demand and surgeonrsquos experienceESArsquos Programme Chairmen are deeply grateful to all members who joined the meeting in Madrid and took an active part in the scientific sessions Moreover the ESA board is proud to announce that ESA section has been awarded as ldquothe best ESSKA section performance 2019rdquo Nevertheless the ESSKA Speciality Days also represented a unique moment to celebrate talent creativity and commitment of members who strongly supported our social media activities during the last year The winner of the first ldquoESA Social Media Awardrdquo was Dr Adrian Blasiak All contributors also received a special mention ldquoBest ESA research paperrdquo was assigned to Dr Lucca Lacheta ESArsquos mission is to provide the best help for young as well as experienced shoulder surgeons to keep enhancing their clinical and surgical skills by keeping ahead of developments As a scientific body ESA plays a role of the utmost importance in education and professional networking We hoped to have achieved this in Madrid If you missed this opportunity but want to play your part in shoulder surgery please donrsquot forget to visit the ESA website and Facebook page and then join us
ESSKA-EKA Highlightsfrom the Speciality Days in Madrid
The topic of this yearrsquos EKA Speciality days was Alignment in Total Knee Arthroplasty The scientific programme started with imaging modalities and analysis techniques for the measurement of lower limb alignment ranging from X-rays to CT and MRI The debate on the controversial topic of anatomical mechanical versus kinematic individualised alignment in TKA followed We still do not know what the best alignment method is for our patients moreover we still do not know if the newer alignment techniques result in superior patient outcomes compared to the classical mechanical alignment The next focus of the meeting was alignment in a high tibial osteotomy and distal femur osteotomy which included a combination of classical and new techniques and the addition of ligament reconstruction to HTO and patient-specific saw guides The afternoon symposia covered sagittal coronal and rotational alignment of TKA components The second day started with the symposium on how to ensure the correct alignment in the digital era focusing on digital planning patient-specific instrumentation and robotics In addition to the symposia and the innovative Hot Topic Debate lively discussions took place in the free paper sessions across a variety of topics ranging from HTO to TKA and roboticsSeveral take-home messages emerged from the discus-sions Although plain radiographs and 2D imaging are the cornerstones of measuring and analysing alignment
advanced imaging techniques such as CT EOS MRI and SPECT provide additional information to better achieve the desired alignment and to evaluate painful TKAMechanical alignment is still the main goal for most surgeons however other philosophies such as kinematic anatomic and individualized alignment may improve midterm patient outcomes without an increase in wear and loosening rates in select patients without significant deformity and bone loss Although there are no precise cut off points there are safe zones for implant alignment and the focus should be on preserving the soft tissue envelope aiming for a more natural knee New technologies such as PSI CAS robotics and accelerometer-based inserts may increase the accuracy of alignment in all three planes however the effect of increased accuracy on patient outcomes is still controversial Despite advances in technology the surgeon is still the most crucial factor in ensuring the best outcome for our patients and finally No the machines are not taking over our orthopaedic expertise (at least not yet)Many thanks go to our faculty and highlight speakers for their time and effort in making this first Speciality Days a memorable scientific event Special thanks to our members and delegates who filled the largest auditorium in the congress centre from 715am and contributed to the lively discussions We look forward to the 2021 edition in Warsaw
NANNE KORTESSKA-EKA Chairman
REHA N TANDOGANESSKA-EKA Secretary
ESSKA-ESA Highlightsfrom the Speciality Days in Madrid
GIUSEPPE MILANOESSKA-ESA Chairman
22
ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
42
ESSKA NEWSLETTER | 12 19
43
ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
46
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
50
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
79
ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
81
ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
AFAS AFASESA
EKA ESMA
ESA
EKA
ESMA
More pictures at wwwesskaorggallery
ESSKA would like to sincerely thank Smith amp Nephew for their support and participation in Specialty Days
ESSKA would like to sincerely thank DePuy Synthes for their support and participation in Specialty Days
ESSKA would like to sincerely thank Zimmer Biomet for their support and participation in Specialty Days
ESSKA would like to sincerely thank Arthrex for their support and participation in Specialty Days
ESSKA would like to sincerely thank Stryker for their support and participation in Specialty Days
Hot Topic Debates
Rotator cuff repair pro and cons of biological augmentation
Subacromial spacer in the treatment of massive and irreparable rotator cuff tears Scientific fact or fiction
Suture the meniscus Yes or no
Attune TKR ndash Mechanical Alignment vs Anatomical Alignment
Use of Internal Brace
Premiertrade Total Knee InstrumentationVanguardreg Complete Knee System
Surgical Technique
AFAS
ESA
EKA
ESMA
AFAS
ESA
EKA
ESMA
Premiertrade Total Knee InstrumentationVanguardreg Complete Knee System
Surgical Technique
ESSKA would like to thank the following partners
AFAS
ESA
EKA
ESMA
Firstkind
ESSKA would like to thank the following exhibitors for their participation in Specialty Days
Mad-up PeekMed
Symbios Orthopeacutedie
Alphanorm
Lima Corporate
Game Ready
NeoligamentsInion
Medacta International
Regen Lab
Conmed
Corin
Episurf Medical
VirtaMed
AFAS
ESA
EKA
ESMACongratulations to our Scientific Award winners
AFAS Top Scored AbstractErnst Orthner
EKA Top Scored AbstractLukas Moser
ESA Top Scored AbstractLucca Lacheta
ESMA Top Scored AbstractPanagiotis Kouloumentas
AFAS Most Viewed E-posterApostolos Polyzos
ESMA Most Viewed E-posterVahdet Uccedilan
EKA Most Viewed E-posterJure Serdar
ESA Most Viewed E-posterAlexandra Pokorny-Olsen
AFAS
ESA
EKA
ESMA
See you in Warsaw5 mdash 6 N O V E M B E R
SAVE THE DATE
5 ndash 6 November 2021 | See you in Warsaw
Congratulations to ESA for winning the overall prize of Best Section Performance
ESSKA Section Award winner
18
ESSKA NEWSLETTER | 12 19
19
ESSKA NEWSLETTER | 12 19
ESSKA-AFAS News
Race to Milan
JAMES CALDERESSKA-AFAS Chairman
I would like to sincerely thank all those involved in ESSKArsquos First Speciality Days event that took place in Madrid on the 8-9 November Daniel Haverkamp as the scientific chairman put a great AFAS Section programme together providing ample time for discussion and we succeeded in moving away from the usual lecture-based format to promote debate amongst our ldquoexpertsrdquo and the audience Prof Alastair Younger flew in from Vancouver and delivered some great talks based on his wealth of experience The ldquoHot-Topicrdquo debate was held between Prof Bill Ribbans (UK) and Mike Butler (UK) in support of the routine use for the Internal Bracereg for lateral ligament reconstruction pitched against Alastair Younger and myself Alastairrsquos team was unanimously declared as the winner by me (The audience were swayed in the direction of considering the brace more frequently in specific situations and therefore from a democratic point of view perhaps we losthellip) It proved interesting to see how a didactic (black and white) approach to a complex problem may lead to those with very firmly held views recognising the other sidersquos point of view This is something I would like to encourage in future meetings
The following take home messages stood outfrom the meeting
Cartilage bull Deal with instability at same time as OCLbull Larger lesions ndash AOTS can work wellbull Tibial plafond lesions have variable outcome following microfracturebull Biologics ndash still not known (could some be detrimental)
Biologics bull We need studies before their use can be justified routinelybull Some biologics may be beneficial but some actually may cause more problems
bull We need standardised reporting of constituents and outcomes from PRPBMAc and perhaps this is something AOFAS and AFAS could collaborate on in the future
Syndesmosisbull Use the tools to make diagnosisbull CT to check reduction if screw fixationbull Reconstruction if late diagnosisbull Consider repair superficial deltoid (need evidence)
Arthritis in sportbull Excise osteophytes for ant impingementbull Fusions can workbull Ankle replacements
Away from the scientific content it was a great occasion to catch up and socialise with friends and colleagues ndash Madrid is such a great venue for food and nightlife It seemed a shame that it was interrupted so early on Friday and Saturday morning by some important lectures
In addition to the main programme we also held an AFAS board meeting and the members meeting in advance of the ESSKA congress that will take place in Milan in May 2020 Following proposals from members and then a vote Chris Pearce has been announced as the next vice-chairman of AFAS to take over from Daniel Haverkamp as he takes up my position in May 2020 We have also put together a scientific programme for the ESSKA congress in Milan based upon the feedback and suggestions from AFAS members
As to future education events the ldquoAll Aboutrdquo ankle cadaveric meeting in Munich takes place in December and I will report on this in the next issue A further cadaveric AFAS course has been agreed for 2020 and I will provide details on this in the new year The Ankle Instability Group
is holding an AFAS Members meeting in Ashville USA in June 2020 Peter Mangone is hosting the meeting and will forward details to all members over the forthcoming months (picture and map of location below)
The Achilles Tendon Study Group is organising a consensus and AFAS members meeting in 2021 in St Petersburg ndash the date is yet to be confirmed However Mike Carmont will relay this to you as soon as it is finalised We plan to run it as a 3 day course from Wed-Fri
AFAS is running for Science and please join in free from home
Winner gets a prizeFastest runner gets a prize
(At the moment there seems to be one AFAS member who may be using a bike judging by how far ahead he is)
ESSKA-AFASRun to Milan
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ESSKA NEWSLETTER | 12 19
21
ESSKA NEWSLETTER | 12 19
ESSKA-ESA continues to thrive As expected ESSKArsquos Speciality Days gave us an opportunity to share ideas and future projects with ESSKArsquos other Sections as well as to take stock in one of the most contentious topics of modern shoulder surgery the management of massive rotator cuff tearsA few decades ago the goal of shoulder surgery was any kind of functional improvement over the pre-operative condition Nowadays technological advancements in diagnosis and treatment options as well as a better understanding of biology and biomechanics have set the bar much higher The main goal nowadays is a successful functional result and a full biological healing when joint preserving options are suitableHowever treatment of massive cuff tears remains a challenge Higher re-tear rates and low functional results are still commonly reported in the literature after open or arthroscopic repairs Up to now this is one of the worst reverses for shoulder surgery Dozens of surgical options have been reported but therersquos still no consensus about treating a massive cuff tear to avoid a re-tear Indeed the situation is even more confused when it comes to treating massive cuff re-tears Therefore ESA felt that some focus on the problem was needed And ESSKArsquos Speciality Days seemed to be a perfect opportunity A detailed programme was prepared It started by defining massive cuff tear then passed to biologic enhancement options conservative as well as surgical strategies and rehabilitation in both scenarios up to clarification of the demarcation line between joint preserving options and shoulder replacement and finally concluded by understanding how to manage failure even after a reverse shoulder arthroplasty Intense discussions after these sessions and case presentations made for a successful meeting ESSKArsquos Speciality Days allowed ESA to assemble the most experienced European shoulder surgeons in a stunning location But what really made the difference was the active participation of ESA members In his conclusive speech Dr Nuno Gomes pointed out that the contents of presentations and discussions were remarkable especially taking into account the relevance of the
issues addressed A definitive conclusion on the best treatment modality in treating massive cuff tears probably cannot be drawn yet However ESSKA Speciality Days showed us a wide variety of viable surgical techniques concluding that the best option is up to now probably related to patientrsquos functional demand and surgeonrsquos experienceESArsquos Programme Chairmen are deeply grateful to all members who joined the meeting in Madrid and took an active part in the scientific sessions Moreover the ESA board is proud to announce that ESA section has been awarded as ldquothe best ESSKA section performance 2019rdquo Nevertheless the ESSKA Speciality Days also represented a unique moment to celebrate talent creativity and commitment of members who strongly supported our social media activities during the last year The winner of the first ldquoESA Social Media Awardrdquo was Dr Adrian Blasiak All contributors also received a special mention ldquoBest ESA research paperrdquo was assigned to Dr Lucca Lacheta ESArsquos mission is to provide the best help for young as well as experienced shoulder surgeons to keep enhancing their clinical and surgical skills by keeping ahead of developments As a scientific body ESA plays a role of the utmost importance in education and professional networking We hoped to have achieved this in Madrid If you missed this opportunity but want to play your part in shoulder surgery please donrsquot forget to visit the ESA website and Facebook page and then join us
ESSKA-EKA Highlightsfrom the Speciality Days in Madrid
The topic of this yearrsquos EKA Speciality days was Alignment in Total Knee Arthroplasty The scientific programme started with imaging modalities and analysis techniques for the measurement of lower limb alignment ranging from X-rays to CT and MRI The debate on the controversial topic of anatomical mechanical versus kinematic individualised alignment in TKA followed We still do not know what the best alignment method is for our patients moreover we still do not know if the newer alignment techniques result in superior patient outcomes compared to the classical mechanical alignment The next focus of the meeting was alignment in a high tibial osteotomy and distal femur osteotomy which included a combination of classical and new techniques and the addition of ligament reconstruction to HTO and patient-specific saw guides The afternoon symposia covered sagittal coronal and rotational alignment of TKA components The second day started with the symposium on how to ensure the correct alignment in the digital era focusing on digital planning patient-specific instrumentation and robotics In addition to the symposia and the innovative Hot Topic Debate lively discussions took place in the free paper sessions across a variety of topics ranging from HTO to TKA and roboticsSeveral take-home messages emerged from the discus-sions Although plain radiographs and 2D imaging are the cornerstones of measuring and analysing alignment
advanced imaging techniques such as CT EOS MRI and SPECT provide additional information to better achieve the desired alignment and to evaluate painful TKAMechanical alignment is still the main goal for most surgeons however other philosophies such as kinematic anatomic and individualized alignment may improve midterm patient outcomes without an increase in wear and loosening rates in select patients without significant deformity and bone loss Although there are no precise cut off points there are safe zones for implant alignment and the focus should be on preserving the soft tissue envelope aiming for a more natural knee New technologies such as PSI CAS robotics and accelerometer-based inserts may increase the accuracy of alignment in all three planes however the effect of increased accuracy on patient outcomes is still controversial Despite advances in technology the surgeon is still the most crucial factor in ensuring the best outcome for our patients and finally No the machines are not taking over our orthopaedic expertise (at least not yet)Many thanks go to our faculty and highlight speakers for their time and effort in making this first Speciality Days a memorable scientific event Special thanks to our members and delegates who filled the largest auditorium in the congress centre from 715am and contributed to the lively discussions We look forward to the 2021 edition in Warsaw
NANNE KORTESSKA-EKA Chairman
REHA N TANDOGANESSKA-EKA Secretary
ESSKA-ESA Highlightsfrom the Speciality Days in Madrid
GIUSEPPE MILANOESSKA-ESA Chairman
22
ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
42
ESSKA NEWSLETTER | 12 19
43
ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
44
ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
46
ESSKA NEWSLETTER | 12 19
47
ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA NEWSLETTER | 12 19
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
79
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
ESSKA would like to sincerely thank Smith amp Nephew for their support and participation in Specialty Days
ESSKA would like to sincerely thank DePuy Synthes for their support and participation in Specialty Days
ESSKA would like to sincerely thank Zimmer Biomet for their support and participation in Specialty Days
ESSKA would like to sincerely thank Arthrex for their support and participation in Specialty Days
ESSKA would like to sincerely thank Stryker for their support and participation in Specialty Days
Hot Topic Debates
Rotator cuff repair pro and cons of biological augmentation
Subacromial spacer in the treatment of massive and irreparable rotator cuff tears Scientific fact or fiction
Suture the meniscus Yes or no
Attune TKR ndash Mechanical Alignment vs Anatomical Alignment
Use of Internal Brace
Premiertrade Total Knee InstrumentationVanguardreg Complete Knee System
Surgical Technique
AFAS
ESA
EKA
ESMA
AFAS
ESA
EKA
ESMA
Premiertrade Total Knee InstrumentationVanguardreg Complete Knee System
Surgical Technique
ESSKA would like to thank the following partners
AFAS
ESA
EKA
ESMA
Firstkind
ESSKA would like to thank the following exhibitors for their participation in Specialty Days
Mad-up PeekMed
Symbios Orthopeacutedie
Alphanorm
Lima Corporate
Game Ready
NeoligamentsInion
Medacta International
Regen Lab
Conmed
Corin
Episurf Medical
VirtaMed
AFAS
ESA
EKA
ESMACongratulations to our Scientific Award winners
AFAS Top Scored AbstractErnst Orthner
EKA Top Scored AbstractLukas Moser
ESA Top Scored AbstractLucca Lacheta
ESMA Top Scored AbstractPanagiotis Kouloumentas
AFAS Most Viewed E-posterApostolos Polyzos
ESMA Most Viewed E-posterVahdet Uccedilan
EKA Most Viewed E-posterJure Serdar
ESA Most Viewed E-posterAlexandra Pokorny-Olsen
AFAS
ESA
EKA
ESMA
See you in Warsaw5 mdash 6 N O V E M B E R
SAVE THE DATE
5 ndash 6 November 2021 | See you in Warsaw
Congratulations to ESA for winning the overall prize of Best Section Performance
ESSKA Section Award winner
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ESSKA NEWSLETTER | 12 19
19
ESSKA NEWSLETTER | 12 19
ESSKA-AFAS News
Race to Milan
JAMES CALDERESSKA-AFAS Chairman
I would like to sincerely thank all those involved in ESSKArsquos First Speciality Days event that took place in Madrid on the 8-9 November Daniel Haverkamp as the scientific chairman put a great AFAS Section programme together providing ample time for discussion and we succeeded in moving away from the usual lecture-based format to promote debate amongst our ldquoexpertsrdquo and the audience Prof Alastair Younger flew in from Vancouver and delivered some great talks based on his wealth of experience The ldquoHot-Topicrdquo debate was held between Prof Bill Ribbans (UK) and Mike Butler (UK) in support of the routine use for the Internal Bracereg for lateral ligament reconstruction pitched against Alastair Younger and myself Alastairrsquos team was unanimously declared as the winner by me (The audience were swayed in the direction of considering the brace more frequently in specific situations and therefore from a democratic point of view perhaps we losthellip) It proved interesting to see how a didactic (black and white) approach to a complex problem may lead to those with very firmly held views recognising the other sidersquos point of view This is something I would like to encourage in future meetings
The following take home messages stood outfrom the meeting
Cartilage bull Deal with instability at same time as OCLbull Larger lesions ndash AOTS can work wellbull Tibial plafond lesions have variable outcome following microfracturebull Biologics ndash still not known (could some be detrimental)
Biologics bull We need studies before their use can be justified routinelybull Some biologics may be beneficial but some actually may cause more problems
bull We need standardised reporting of constituents and outcomes from PRPBMAc and perhaps this is something AOFAS and AFAS could collaborate on in the future
Syndesmosisbull Use the tools to make diagnosisbull CT to check reduction if screw fixationbull Reconstruction if late diagnosisbull Consider repair superficial deltoid (need evidence)
Arthritis in sportbull Excise osteophytes for ant impingementbull Fusions can workbull Ankle replacements
Away from the scientific content it was a great occasion to catch up and socialise with friends and colleagues ndash Madrid is such a great venue for food and nightlife It seemed a shame that it was interrupted so early on Friday and Saturday morning by some important lectures
In addition to the main programme we also held an AFAS board meeting and the members meeting in advance of the ESSKA congress that will take place in Milan in May 2020 Following proposals from members and then a vote Chris Pearce has been announced as the next vice-chairman of AFAS to take over from Daniel Haverkamp as he takes up my position in May 2020 We have also put together a scientific programme for the ESSKA congress in Milan based upon the feedback and suggestions from AFAS members
As to future education events the ldquoAll Aboutrdquo ankle cadaveric meeting in Munich takes place in December and I will report on this in the next issue A further cadaveric AFAS course has been agreed for 2020 and I will provide details on this in the new year The Ankle Instability Group
is holding an AFAS Members meeting in Ashville USA in June 2020 Peter Mangone is hosting the meeting and will forward details to all members over the forthcoming months (picture and map of location below)
The Achilles Tendon Study Group is organising a consensus and AFAS members meeting in 2021 in St Petersburg ndash the date is yet to be confirmed However Mike Carmont will relay this to you as soon as it is finalised We plan to run it as a 3 day course from Wed-Fri
AFAS is running for Science and please join in free from home
Winner gets a prizeFastest runner gets a prize
(At the moment there seems to be one AFAS member who may be using a bike judging by how far ahead he is)
ESSKA-AFASRun to Milan
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ESSKA NEWSLETTER | 12 19
21
ESSKA NEWSLETTER | 12 19
ESSKA-ESA continues to thrive As expected ESSKArsquos Speciality Days gave us an opportunity to share ideas and future projects with ESSKArsquos other Sections as well as to take stock in one of the most contentious topics of modern shoulder surgery the management of massive rotator cuff tearsA few decades ago the goal of shoulder surgery was any kind of functional improvement over the pre-operative condition Nowadays technological advancements in diagnosis and treatment options as well as a better understanding of biology and biomechanics have set the bar much higher The main goal nowadays is a successful functional result and a full biological healing when joint preserving options are suitableHowever treatment of massive cuff tears remains a challenge Higher re-tear rates and low functional results are still commonly reported in the literature after open or arthroscopic repairs Up to now this is one of the worst reverses for shoulder surgery Dozens of surgical options have been reported but therersquos still no consensus about treating a massive cuff tear to avoid a re-tear Indeed the situation is even more confused when it comes to treating massive cuff re-tears Therefore ESA felt that some focus on the problem was needed And ESSKArsquos Speciality Days seemed to be a perfect opportunity A detailed programme was prepared It started by defining massive cuff tear then passed to biologic enhancement options conservative as well as surgical strategies and rehabilitation in both scenarios up to clarification of the demarcation line between joint preserving options and shoulder replacement and finally concluded by understanding how to manage failure even after a reverse shoulder arthroplasty Intense discussions after these sessions and case presentations made for a successful meeting ESSKArsquos Speciality Days allowed ESA to assemble the most experienced European shoulder surgeons in a stunning location But what really made the difference was the active participation of ESA members In his conclusive speech Dr Nuno Gomes pointed out that the contents of presentations and discussions were remarkable especially taking into account the relevance of the
issues addressed A definitive conclusion on the best treatment modality in treating massive cuff tears probably cannot be drawn yet However ESSKA Speciality Days showed us a wide variety of viable surgical techniques concluding that the best option is up to now probably related to patientrsquos functional demand and surgeonrsquos experienceESArsquos Programme Chairmen are deeply grateful to all members who joined the meeting in Madrid and took an active part in the scientific sessions Moreover the ESA board is proud to announce that ESA section has been awarded as ldquothe best ESSKA section performance 2019rdquo Nevertheless the ESSKA Speciality Days also represented a unique moment to celebrate talent creativity and commitment of members who strongly supported our social media activities during the last year The winner of the first ldquoESA Social Media Awardrdquo was Dr Adrian Blasiak All contributors also received a special mention ldquoBest ESA research paperrdquo was assigned to Dr Lucca Lacheta ESArsquos mission is to provide the best help for young as well as experienced shoulder surgeons to keep enhancing their clinical and surgical skills by keeping ahead of developments As a scientific body ESA plays a role of the utmost importance in education and professional networking We hoped to have achieved this in Madrid If you missed this opportunity but want to play your part in shoulder surgery please donrsquot forget to visit the ESA website and Facebook page and then join us
ESSKA-EKA Highlightsfrom the Speciality Days in Madrid
The topic of this yearrsquos EKA Speciality days was Alignment in Total Knee Arthroplasty The scientific programme started with imaging modalities and analysis techniques for the measurement of lower limb alignment ranging from X-rays to CT and MRI The debate on the controversial topic of anatomical mechanical versus kinematic individualised alignment in TKA followed We still do not know what the best alignment method is for our patients moreover we still do not know if the newer alignment techniques result in superior patient outcomes compared to the classical mechanical alignment The next focus of the meeting was alignment in a high tibial osteotomy and distal femur osteotomy which included a combination of classical and new techniques and the addition of ligament reconstruction to HTO and patient-specific saw guides The afternoon symposia covered sagittal coronal and rotational alignment of TKA components The second day started with the symposium on how to ensure the correct alignment in the digital era focusing on digital planning patient-specific instrumentation and robotics In addition to the symposia and the innovative Hot Topic Debate lively discussions took place in the free paper sessions across a variety of topics ranging from HTO to TKA and roboticsSeveral take-home messages emerged from the discus-sions Although plain radiographs and 2D imaging are the cornerstones of measuring and analysing alignment
advanced imaging techniques such as CT EOS MRI and SPECT provide additional information to better achieve the desired alignment and to evaluate painful TKAMechanical alignment is still the main goal for most surgeons however other philosophies such as kinematic anatomic and individualized alignment may improve midterm patient outcomes without an increase in wear and loosening rates in select patients without significant deformity and bone loss Although there are no precise cut off points there are safe zones for implant alignment and the focus should be on preserving the soft tissue envelope aiming for a more natural knee New technologies such as PSI CAS robotics and accelerometer-based inserts may increase the accuracy of alignment in all three planes however the effect of increased accuracy on patient outcomes is still controversial Despite advances in technology the surgeon is still the most crucial factor in ensuring the best outcome for our patients and finally No the machines are not taking over our orthopaedic expertise (at least not yet)Many thanks go to our faculty and highlight speakers for their time and effort in making this first Speciality Days a memorable scientific event Special thanks to our members and delegates who filled the largest auditorium in the congress centre from 715am and contributed to the lively discussions We look forward to the 2021 edition in Warsaw
NANNE KORTESSKA-EKA Chairman
REHA N TANDOGANESSKA-EKA Secretary
ESSKA-ESA Highlightsfrom the Speciality Days in Madrid
GIUSEPPE MILANOESSKA-ESA Chairman
22
ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
42
ESSKA NEWSLETTER | 12 19
43
ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
44
ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
72
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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79
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
AFAS
ESA
EKA
ESMA
Premiertrade Total Knee InstrumentationVanguardreg Complete Knee System
Surgical Technique
ESSKA would like to thank the following partners
AFAS
ESA
EKA
ESMA
Firstkind
ESSKA would like to thank the following exhibitors for their participation in Specialty Days
Mad-up PeekMed
Symbios Orthopeacutedie
Alphanorm
Lima Corporate
Game Ready
NeoligamentsInion
Medacta International
Regen Lab
Conmed
Corin
Episurf Medical
VirtaMed
AFAS
ESA
EKA
ESMACongratulations to our Scientific Award winners
AFAS Top Scored AbstractErnst Orthner
EKA Top Scored AbstractLukas Moser
ESA Top Scored AbstractLucca Lacheta
ESMA Top Scored AbstractPanagiotis Kouloumentas
AFAS Most Viewed E-posterApostolos Polyzos
ESMA Most Viewed E-posterVahdet Uccedilan
EKA Most Viewed E-posterJure Serdar
ESA Most Viewed E-posterAlexandra Pokorny-Olsen
AFAS
ESA
EKA
ESMA
See you in Warsaw5 mdash 6 N O V E M B E R
SAVE THE DATE
5 ndash 6 November 2021 | See you in Warsaw
Congratulations to ESA for winning the overall prize of Best Section Performance
ESSKA Section Award winner
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA-AFAS News
Race to Milan
JAMES CALDERESSKA-AFAS Chairman
I would like to sincerely thank all those involved in ESSKArsquos First Speciality Days event that took place in Madrid on the 8-9 November Daniel Haverkamp as the scientific chairman put a great AFAS Section programme together providing ample time for discussion and we succeeded in moving away from the usual lecture-based format to promote debate amongst our ldquoexpertsrdquo and the audience Prof Alastair Younger flew in from Vancouver and delivered some great talks based on his wealth of experience The ldquoHot-Topicrdquo debate was held between Prof Bill Ribbans (UK) and Mike Butler (UK) in support of the routine use for the Internal Bracereg for lateral ligament reconstruction pitched against Alastair Younger and myself Alastairrsquos team was unanimously declared as the winner by me (The audience were swayed in the direction of considering the brace more frequently in specific situations and therefore from a democratic point of view perhaps we losthellip) It proved interesting to see how a didactic (black and white) approach to a complex problem may lead to those with very firmly held views recognising the other sidersquos point of view This is something I would like to encourage in future meetings
The following take home messages stood outfrom the meeting
Cartilage bull Deal with instability at same time as OCLbull Larger lesions ndash AOTS can work wellbull Tibial plafond lesions have variable outcome following microfracturebull Biologics ndash still not known (could some be detrimental)
Biologics bull We need studies before their use can be justified routinelybull Some biologics may be beneficial but some actually may cause more problems
bull We need standardised reporting of constituents and outcomes from PRPBMAc and perhaps this is something AOFAS and AFAS could collaborate on in the future
Syndesmosisbull Use the tools to make diagnosisbull CT to check reduction if screw fixationbull Reconstruction if late diagnosisbull Consider repair superficial deltoid (need evidence)
Arthritis in sportbull Excise osteophytes for ant impingementbull Fusions can workbull Ankle replacements
Away from the scientific content it was a great occasion to catch up and socialise with friends and colleagues ndash Madrid is such a great venue for food and nightlife It seemed a shame that it was interrupted so early on Friday and Saturday morning by some important lectures
In addition to the main programme we also held an AFAS board meeting and the members meeting in advance of the ESSKA congress that will take place in Milan in May 2020 Following proposals from members and then a vote Chris Pearce has been announced as the next vice-chairman of AFAS to take over from Daniel Haverkamp as he takes up my position in May 2020 We have also put together a scientific programme for the ESSKA congress in Milan based upon the feedback and suggestions from AFAS members
As to future education events the ldquoAll Aboutrdquo ankle cadaveric meeting in Munich takes place in December and I will report on this in the next issue A further cadaveric AFAS course has been agreed for 2020 and I will provide details on this in the new year The Ankle Instability Group
is holding an AFAS Members meeting in Ashville USA in June 2020 Peter Mangone is hosting the meeting and will forward details to all members over the forthcoming months (picture and map of location below)
The Achilles Tendon Study Group is organising a consensus and AFAS members meeting in 2021 in St Petersburg ndash the date is yet to be confirmed However Mike Carmont will relay this to you as soon as it is finalised We plan to run it as a 3 day course from Wed-Fri
AFAS is running for Science and please join in free from home
Winner gets a prizeFastest runner gets a prize
(At the moment there seems to be one AFAS member who may be using a bike judging by how far ahead he is)
ESSKA-AFASRun to Milan
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA-ESA continues to thrive As expected ESSKArsquos Speciality Days gave us an opportunity to share ideas and future projects with ESSKArsquos other Sections as well as to take stock in one of the most contentious topics of modern shoulder surgery the management of massive rotator cuff tearsA few decades ago the goal of shoulder surgery was any kind of functional improvement over the pre-operative condition Nowadays technological advancements in diagnosis and treatment options as well as a better understanding of biology and biomechanics have set the bar much higher The main goal nowadays is a successful functional result and a full biological healing when joint preserving options are suitableHowever treatment of massive cuff tears remains a challenge Higher re-tear rates and low functional results are still commonly reported in the literature after open or arthroscopic repairs Up to now this is one of the worst reverses for shoulder surgery Dozens of surgical options have been reported but therersquos still no consensus about treating a massive cuff tear to avoid a re-tear Indeed the situation is even more confused when it comes to treating massive cuff re-tears Therefore ESA felt that some focus on the problem was needed And ESSKArsquos Speciality Days seemed to be a perfect opportunity A detailed programme was prepared It started by defining massive cuff tear then passed to biologic enhancement options conservative as well as surgical strategies and rehabilitation in both scenarios up to clarification of the demarcation line between joint preserving options and shoulder replacement and finally concluded by understanding how to manage failure even after a reverse shoulder arthroplasty Intense discussions after these sessions and case presentations made for a successful meeting ESSKArsquos Speciality Days allowed ESA to assemble the most experienced European shoulder surgeons in a stunning location But what really made the difference was the active participation of ESA members In his conclusive speech Dr Nuno Gomes pointed out that the contents of presentations and discussions were remarkable especially taking into account the relevance of the
issues addressed A definitive conclusion on the best treatment modality in treating massive cuff tears probably cannot be drawn yet However ESSKA Speciality Days showed us a wide variety of viable surgical techniques concluding that the best option is up to now probably related to patientrsquos functional demand and surgeonrsquos experienceESArsquos Programme Chairmen are deeply grateful to all members who joined the meeting in Madrid and took an active part in the scientific sessions Moreover the ESA board is proud to announce that ESA section has been awarded as ldquothe best ESSKA section performance 2019rdquo Nevertheless the ESSKA Speciality Days also represented a unique moment to celebrate talent creativity and commitment of members who strongly supported our social media activities during the last year The winner of the first ldquoESA Social Media Awardrdquo was Dr Adrian Blasiak All contributors also received a special mention ldquoBest ESA research paperrdquo was assigned to Dr Lucca Lacheta ESArsquos mission is to provide the best help for young as well as experienced shoulder surgeons to keep enhancing their clinical and surgical skills by keeping ahead of developments As a scientific body ESA plays a role of the utmost importance in education and professional networking We hoped to have achieved this in Madrid If you missed this opportunity but want to play your part in shoulder surgery please donrsquot forget to visit the ESA website and Facebook page and then join us
ESSKA-EKA Highlightsfrom the Speciality Days in Madrid
The topic of this yearrsquos EKA Speciality days was Alignment in Total Knee Arthroplasty The scientific programme started with imaging modalities and analysis techniques for the measurement of lower limb alignment ranging from X-rays to CT and MRI The debate on the controversial topic of anatomical mechanical versus kinematic individualised alignment in TKA followed We still do not know what the best alignment method is for our patients moreover we still do not know if the newer alignment techniques result in superior patient outcomes compared to the classical mechanical alignment The next focus of the meeting was alignment in a high tibial osteotomy and distal femur osteotomy which included a combination of classical and new techniques and the addition of ligament reconstruction to HTO and patient-specific saw guides The afternoon symposia covered sagittal coronal and rotational alignment of TKA components The second day started with the symposium on how to ensure the correct alignment in the digital era focusing on digital planning patient-specific instrumentation and robotics In addition to the symposia and the innovative Hot Topic Debate lively discussions took place in the free paper sessions across a variety of topics ranging from HTO to TKA and roboticsSeveral take-home messages emerged from the discus-sions Although plain radiographs and 2D imaging are the cornerstones of measuring and analysing alignment
advanced imaging techniques such as CT EOS MRI and SPECT provide additional information to better achieve the desired alignment and to evaluate painful TKAMechanical alignment is still the main goal for most surgeons however other philosophies such as kinematic anatomic and individualized alignment may improve midterm patient outcomes without an increase in wear and loosening rates in select patients without significant deformity and bone loss Although there are no precise cut off points there are safe zones for implant alignment and the focus should be on preserving the soft tissue envelope aiming for a more natural knee New technologies such as PSI CAS robotics and accelerometer-based inserts may increase the accuracy of alignment in all three planes however the effect of increased accuracy on patient outcomes is still controversial Despite advances in technology the surgeon is still the most crucial factor in ensuring the best outcome for our patients and finally No the machines are not taking over our orthopaedic expertise (at least not yet)Many thanks go to our faculty and highlight speakers for their time and effort in making this first Speciality Days a memorable scientific event Special thanks to our members and delegates who filled the largest auditorium in the congress centre from 715am and contributed to the lively discussions We look forward to the 2021 edition in Warsaw
NANNE KORTESSKA-EKA Chairman
REHA N TANDOGANESSKA-EKA Secretary
ESSKA-ESA Highlightsfrom the Speciality Days in Madrid
GIUSEPPE MILANOESSKA-ESA Chairman
22
ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
79
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
AFAS
ESA
EKA
ESMA
Firstkind
ESSKA would like to thank the following exhibitors for their participation in Specialty Days
Mad-up PeekMed
Symbios Orthopeacutedie
Alphanorm
Lima Corporate
Game Ready
NeoligamentsInion
Medacta International
Regen Lab
Conmed
Corin
Episurf Medical
VirtaMed
AFAS
ESA
EKA
ESMACongratulations to our Scientific Award winners
AFAS Top Scored AbstractErnst Orthner
EKA Top Scored AbstractLukas Moser
ESA Top Scored AbstractLucca Lacheta
ESMA Top Scored AbstractPanagiotis Kouloumentas
AFAS Most Viewed E-posterApostolos Polyzos
ESMA Most Viewed E-posterVahdet Uccedilan
EKA Most Viewed E-posterJure Serdar
ESA Most Viewed E-posterAlexandra Pokorny-Olsen
AFAS
ESA
EKA
ESMA
See you in Warsaw5 mdash 6 N O V E M B E R
SAVE THE DATE
5 ndash 6 November 2021 | See you in Warsaw
Congratulations to ESA for winning the overall prize of Best Section Performance
ESSKA Section Award winner
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA-AFAS News
Race to Milan
JAMES CALDERESSKA-AFAS Chairman
I would like to sincerely thank all those involved in ESSKArsquos First Speciality Days event that took place in Madrid on the 8-9 November Daniel Haverkamp as the scientific chairman put a great AFAS Section programme together providing ample time for discussion and we succeeded in moving away from the usual lecture-based format to promote debate amongst our ldquoexpertsrdquo and the audience Prof Alastair Younger flew in from Vancouver and delivered some great talks based on his wealth of experience The ldquoHot-Topicrdquo debate was held between Prof Bill Ribbans (UK) and Mike Butler (UK) in support of the routine use for the Internal Bracereg for lateral ligament reconstruction pitched against Alastair Younger and myself Alastairrsquos team was unanimously declared as the winner by me (The audience were swayed in the direction of considering the brace more frequently in specific situations and therefore from a democratic point of view perhaps we losthellip) It proved interesting to see how a didactic (black and white) approach to a complex problem may lead to those with very firmly held views recognising the other sidersquos point of view This is something I would like to encourage in future meetings
The following take home messages stood outfrom the meeting
Cartilage bull Deal with instability at same time as OCLbull Larger lesions ndash AOTS can work wellbull Tibial plafond lesions have variable outcome following microfracturebull Biologics ndash still not known (could some be detrimental)
Biologics bull We need studies before their use can be justified routinelybull Some biologics may be beneficial but some actually may cause more problems
bull We need standardised reporting of constituents and outcomes from PRPBMAc and perhaps this is something AOFAS and AFAS could collaborate on in the future
Syndesmosisbull Use the tools to make diagnosisbull CT to check reduction if screw fixationbull Reconstruction if late diagnosisbull Consider repair superficial deltoid (need evidence)
Arthritis in sportbull Excise osteophytes for ant impingementbull Fusions can workbull Ankle replacements
Away from the scientific content it was a great occasion to catch up and socialise with friends and colleagues ndash Madrid is such a great venue for food and nightlife It seemed a shame that it was interrupted so early on Friday and Saturday morning by some important lectures
In addition to the main programme we also held an AFAS board meeting and the members meeting in advance of the ESSKA congress that will take place in Milan in May 2020 Following proposals from members and then a vote Chris Pearce has been announced as the next vice-chairman of AFAS to take over from Daniel Haverkamp as he takes up my position in May 2020 We have also put together a scientific programme for the ESSKA congress in Milan based upon the feedback and suggestions from AFAS members
As to future education events the ldquoAll Aboutrdquo ankle cadaveric meeting in Munich takes place in December and I will report on this in the next issue A further cadaveric AFAS course has been agreed for 2020 and I will provide details on this in the new year The Ankle Instability Group
is holding an AFAS Members meeting in Ashville USA in June 2020 Peter Mangone is hosting the meeting and will forward details to all members over the forthcoming months (picture and map of location below)
The Achilles Tendon Study Group is organising a consensus and AFAS members meeting in 2021 in St Petersburg ndash the date is yet to be confirmed However Mike Carmont will relay this to you as soon as it is finalised We plan to run it as a 3 day course from Wed-Fri
AFAS is running for Science and please join in free from home
Winner gets a prizeFastest runner gets a prize
(At the moment there seems to be one AFAS member who may be using a bike judging by how far ahead he is)
ESSKA-AFASRun to Milan
20
ESSKA NEWSLETTER | 12 19
21
ESSKA NEWSLETTER | 12 19
ESSKA-ESA continues to thrive As expected ESSKArsquos Speciality Days gave us an opportunity to share ideas and future projects with ESSKArsquos other Sections as well as to take stock in one of the most contentious topics of modern shoulder surgery the management of massive rotator cuff tearsA few decades ago the goal of shoulder surgery was any kind of functional improvement over the pre-operative condition Nowadays technological advancements in diagnosis and treatment options as well as a better understanding of biology and biomechanics have set the bar much higher The main goal nowadays is a successful functional result and a full biological healing when joint preserving options are suitableHowever treatment of massive cuff tears remains a challenge Higher re-tear rates and low functional results are still commonly reported in the literature after open or arthroscopic repairs Up to now this is one of the worst reverses for shoulder surgery Dozens of surgical options have been reported but therersquos still no consensus about treating a massive cuff tear to avoid a re-tear Indeed the situation is even more confused when it comes to treating massive cuff re-tears Therefore ESA felt that some focus on the problem was needed And ESSKArsquos Speciality Days seemed to be a perfect opportunity A detailed programme was prepared It started by defining massive cuff tear then passed to biologic enhancement options conservative as well as surgical strategies and rehabilitation in both scenarios up to clarification of the demarcation line between joint preserving options and shoulder replacement and finally concluded by understanding how to manage failure even after a reverse shoulder arthroplasty Intense discussions after these sessions and case presentations made for a successful meeting ESSKArsquos Speciality Days allowed ESA to assemble the most experienced European shoulder surgeons in a stunning location But what really made the difference was the active participation of ESA members In his conclusive speech Dr Nuno Gomes pointed out that the contents of presentations and discussions were remarkable especially taking into account the relevance of the
issues addressed A definitive conclusion on the best treatment modality in treating massive cuff tears probably cannot be drawn yet However ESSKA Speciality Days showed us a wide variety of viable surgical techniques concluding that the best option is up to now probably related to patientrsquos functional demand and surgeonrsquos experienceESArsquos Programme Chairmen are deeply grateful to all members who joined the meeting in Madrid and took an active part in the scientific sessions Moreover the ESA board is proud to announce that ESA section has been awarded as ldquothe best ESSKA section performance 2019rdquo Nevertheless the ESSKA Speciality Days also represented a unique moment to celebrate talent creativity and commitment of members who strongly supported our social media activities during the last year The winner of the first ldquoESA Social Media Awardrdquo was Dr Adrian Blasiak All contributors also received a special mention ldquoBest ESA research paperrdquo was assigned to Dr Lucca Lacheta ESArsquos mission is to provide the best help for young as well as experienced shoulder surgeons to keep enhancing their clinical and surgical skills by keeping ahead of developments As a scientific body ESA plays a role of the utmost importance in education and professional networking We hoped to have achieved this in Madrid If you missed this opportunity but want to play your part in shoulder surgery please donrsquot forget to visit the ESA website and Facebook page and then join us
ESSKA-EKA Highlightsfrom the Speciality Days in Madrid
The topic of this yearrsquos EKA Speciality days was Alignment in Total Knee Arthroplasty The scientific programme started with imaging modalities and analysis techniques for the measurement of lower limb alignment ranging from X-rays to CT and MRI The debate on the controversial topic of anatomical mechanical versus kinematic individualised alignment in TKA followed We still do not know what the best alignment method is for our patients moreover we still do not know if the newer alignment techniques result in superior patient outcomes compared to the classical mechanical alignment The next focus of the meeting was alignment in a high tibial osteotomy and distal femur osteotomy which included a combination of classical and new techniques and the addition of ligament reconstruction to HTO and patient-specific saw guides The afternoon symposia covered sagittal coronal and rotational alignment of TKA components The second day started with the symposium on how to ensure the correct alignment in the digital era focusing on digital planning patient-specific instrumentation and robotics In addition to the symposia and the innovative Hot Topic Debate lively discussions took place in the free paper sessions across a variety of topics ranging from HTO to TKA and roboticsSeveral take-home messages emerged from the discus-sions Although plain radiographs and 2D imaging are the cornerstones of measuring and analysing alignment
advanced imaging techniques such as CT EOS MRI and SPECT provide additional information to better achieve the desired alignment and to evaluate painful TKAMechanical alignment is still the main goal for most surgeons however other philosophies such as kinematic anatomic and individualized alignment may improve midterm patient outcomes without an increase in wear and loosening rates in select patients without significant deformity and bone loss Although there are no precise cut off points there are safe zones for implant alignment and the focus should be on preserving the soft tissue envelope aiming for a more natural knee New technologies such as PSI CAS robotics and accelerometer-based inserts may increase the accuracy of alignment in all three planes however the effect of increased accuracy on patient outcomes is still controversial Despite advances in technology the surgeon is still the most crucial factor in ensuring the best outcome for our patients and finally No the machines are not taking over our orthopaedic expertise (at least not yet)Many thanks go to our faculty and highlight speakers for their time and effort in making this first Speciality Days a memorable scientific event Special thanks to our members and delegates who filled the largest auditorium in the congress centre from 715am and contributed to the lively discussions We look forward to the 2021 edition in Warsaw
NANNE KORTESSKA-EKA Chairman
REHA N TANDOGANESSKA-EKA Secretary
ESSKA-ESA Highlightsfrom the Speciality Days in Madrid
GIUSEPPE MILANOESSKA-ESA Chairman
22
ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
AFAS
ESA
EKA
ESMACongratulations to our Scientific Award winners
AFAS Top Scored AbstractErnst Orthner
EKA Top Scored AbstractLukas Moser
ESA Top Scored AbstractLucca Lacheta
ESMA Top Scored AbstractPanagiotis Kouloumentas
AFAS Most Viewed E-posterApostolos Polyzos
ESMA Most Viewed E-posterVahdet Uccedilan
EKA Most Viewed E-posterJure Serdar
ESA Most Viewed E-posterAlexandra Pokorny-Olsen
AFAS
ESA
EKA
ESMA
See you in Warsaw5 mdash 6 N O V E M B E R
SAVE THE DATE
5 ndash 6 November 2021 | See you in Warsaw
Congratulations to ESA for winning the overall prize of Best Section Performance
ESSKA Section Award winner
18
ESSKA NEWSLETTER | 12 19
19
ESSKA NEWSLETTER | 12 19
ESSKA-AFAS News
Race to Milan
JAMES CALDERESSKA-AFAS Chairman
I would like to sincerely thank all those involved in ESSKArsquos First Speciality Days event that took place in Madrid on the 8-9 November Daniel Haverkamp as the scientific chairman put a great AFAS Section programme together providing ample time for discussion and we succeeded in moving away from the usual lecture-based format to promote debate amongst our ldquoexpertsrdquo and the audience Prof Alastair Younger flew in from Vancouver and delivered some great talks based on his wealth of experience The ldquoHot-Topicrdquo debate was held between Prof Bill Ribbans (UK) and Mike Butler (UK) in support of the routine use for the Internal Bracereg for lateral ligament reconstruction pitched against Alastair Younger and myself Alastairrsquos team was unanimously declared as the winner by me (The audience were swayed in the direction of considering the brace more frequently in specific situations and therefore from a democratic point of view perhaps we losthellip) It proved interesting to see how a didactic (black and white) approach to a complex problem may lead to those with very firmly held views recognising the other sidersquos point of view This is something I would like to encourage in future meetings
The following take home messages stood outfrom the meeting
Cartilage bull Deal with instability at same time as OCLbull Larger lesions ndash AOTS can work wellbull Tibial plafond lesions have variable outcome following microfracturebull Biologics ndash still not known (could some be detrimental)
Biologics bull We need studies before their use can be justified routinelybull Some biologics may be beneficial but some actually may cause more problems
bull We need standardised reporting of constituents and outcomes from PRPBMAc and perhaps this is something AOFAS and AFAS could collaborate on in the future
Syndesmosisbull Use the tools to make diagnosisbull CT to check reduction if screw fixationbull Reconstruction if late diagnosisbull Consider repair superficial deltoid (need evidence)
Arthritis in sportbull Excise osteophytes for ant impingementbull Fusions can workbull Ankle replacements
Away from the scientific content it was a great occasion to catch up and socialise with friends and colleagues ndash Madrid is such a great venue for food and nightlife It seemed a shame that it was interrupted so early on Friday and Saturday morning by some important lectures
In addition to the main programme we also held an AFAS board meeting and the members meeting in advance of the ESSKA congress that will take place in Milan in May 2020 Following proposals from members and then a vote Chris Pearce has been announced as the next vice-chairman of AFAS to take over from Daniel Haverkamp as he takes up my position in May 2020 We have also put together a scientific programme for the ESSKA congress in Milan based upon the feedback and suggestions from AFAS members
As to future education events the ldquoAll Aboutrdquo ankle cadaveric meeting in Munich takes place in December and I will report on this in the next issue A further cadaveric AFAS course has been agreed for 2020 and I will provide details on this in the new year The Ankle Instability Group
is holding an AFAS Members meeting in Ashville USA in June 2020 Peter Mangone is hosting the meeting and will forward details to all members over the forthcoming months (picture and map of location below)
The Achilles Tendon Study Group is organising a consensus and AFAS members meeting in 2021 in St Petersburg ndash the date is yet to be confirmed However Mike Carmont will relay this to you as soon as it is finalised We plan to run it as a 3 day course from Wed-Fri
AFAS is running for Science and please join in free from home
Winner gets a prizeFastest runner gets a prize
(At the moment there seems to be one AFAS member who may be using a bike judging by how far ahead he is)
ESSKA-AFASRun to Milan
20
ESSKA NEWSLETTER | 12 19
21
ESSKA NEWSLETTER | 12 19
ESSKA-ESA continues to thrive As expected ESSKArsquos Speciality Days gave us an opportunity to share ideas and future projects with ESSKArsquos other Sections as well as to take stock in one of the most contentious topics of modern shoulder surgery the management of massive rotator cuff tearsA few decades ago the goal of shoulder surgery was any kind of functional improvement over the pre-operative condition Nowadays technological advancements in diagnosis and treatment options as well as a better understanding of biology and biomechanics have set the bar much higher The main goal nowadays is a successful functional result and a full biological healing when joint preserving options are suitableHowever treatment of massive cuff tears remains a challenge Higher re-tear rates and low functional results are still commonly reported in the literature after open or arthroscopic repairs Up to now this is one of the worst reverses for shoulder surgery Dozens of surgical options have been reported but therersquos still no consensus about treating a massive cuff tear to avoid a re-tear Indeed the situation is even more confused when it comes to treating massive cuff re-tears Therefore ESA felt that some focus on the problem was needed And ESSKArsquos Speciality Days seemed to be a perfect opportunity A detailed programme was prepared It started by defining massive cuff tear then passed to biologic enhancement options conservative as well as surgical strategies and rehabilitation in both scenarios up to clarification of the demarcation line between joint preserving options and shoulder replacement and finally concluded by understanding how to manage failure even after a reverse shoulder arthroplasty Intense discussions after these sessions and case presentations made for a successful meeting ESSKArsquos Speciality Days allowed ESA to assemble the most experienced European shoulder surgeons in a stunning location But what really made the difference was the active participation of ESA members In his conclusive speech Dr Nuno Gomes pointed out that the contents of presentations and discussions were remarkable especially taking into account the relevance of the
issues addressed A definitive conclusion on the best treatment modality in treating massive cuff tears probably cannot be drawn yet However ESSKA Speciality Days showed us a wide variety of viable surgical techniques concluding that the best option is up to now probably related to patientrsquos functional demand and surgeonrsquos experienceESArsquos Programme Chairmen are deeply grateful to all members who joined the meeting in Madrid and took an active part in the scientific sessions Moreover the ESA board is proud to announce that ESA section has been awarded as ldquothe best ESSKA section performance 2019rdquo Nevertheless the ESSKA Speciality Days also represented a unique moment to celebrate talent creativity and commitment of members who strongly supported our social media activities during the last year The winner of the first ldquoESA Social Media Awardrdquo was Dr Adrian Blasiak All contributors also received a special mention ldquoBest ESA research paperrdquo was assigned to Dr Lucca Lacheta ESArsquos mission is to provide the best help for young as well as experienced shoulder surgeons to keep enhancing their clinical and surgical skills by keeping ahead of developments As a scientific body ESA plays a role of the utmost importance in education and professional networking We hoped to have achieved this in Madrid If you missed this opportunity but want to play your part in shoulder surgery please donrsquot forget to visit the ESA website and Facebook page and then join us
ESSKA-EKA Highlightsfrom the Speciality Days in Madrid
The topic of this yearrsquos EKA Speciality days was Alignment in Total Knee Arthroplasty The scientific programme started with imaging modalities and analysis techniques for the measurement of lower limb alignment ranging from X-rays to CT and MRI The debate on the controversial topic of anatomical mechanical versus kinematic individualised alignment in TKA followed We still do not know what the best alignment method is for our patients moreover we still do not know if the newer alignment techniques result in superior patient outcomes compared to the classical mechanical alignment The next focus of the meeting was alignment in a high tibial osteotomy and distal femur osteotomy which included a combination of classical and new techniques and the addition of ligament reconstruction to HTO and patient-specific saw guides The afternoon symposia covered sagittal coronal and rotational alignment of TKA components The second day started with the symposium on how to ensure the correct alignment in the digital era focusing on digital planning patient-specific instrumentation and robotics In addition to the symposia and the innovative Hot Topic Debate lively discussions took place in the free paper sessions across a variety of topics ranging from HTO to TKA and roboticsSeveral take-home messages emerged from the discus-sions Although plain radiographs and 2D imaging are the cornerstones of measuring and analysing alignment
advanced imaging techniques such as CT EOS MRI and SPECT provide additional information to better achieve the desired alignment and to evaluate painful TKAMechanical alignment is still the main goal for most surgeons however other philosophies such as kinematic anatomic and individualized alignment may improve midterm patient outcomes without an increase in wear and loosening rates in select patients without significant deformity and bone loss Although there are no precise cut off points there are safe zones for implant alignment and the focus should be on preserving the soft tissue envelope aiming for a more natural knee New technologies such as PSI CAS robotics and accelerometer-based inserts may increase the accuracy of alignment in all three planes however the effect of increased accuracy on patient outcomes is still controversial Despite advances in technology the surgeon is still the most crucial factor in ensuring the best outcome for our patients and finally No the machines are not taking over our orthopaedic expertise (at least not yet)Many thanks go to our faculty and highlight speakers for their time and effort in making this first Speciality Days a memorable scientific event Special thanks to our members and delegates who filled the largest auditorium in the congress centre from 715am and contributed to the lively discussions We look forward to the 2021 edition in Warsaw
NANNE KORTESSKA-EKA Chairman
REHA N TANDOGANESSKA-EKA Secretary
ESSKA-ESA Highlightsfrom the Speciality Days in Madrid
GIUSEPPE MILANOESSKA-ESA Chairman
22
ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
42
ESSKA NEWSLETTER | 12 19
43
ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
44
ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
46
ESSKA NEWSLETTER | 12 19
47
ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
48
ESSKA NEWSLETTER | 12 19
49
ESSKA NEWSLETTER | 12 19
ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
50
ESSKA NEWSLETTER | 12 19
51
ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
78
ESSKA NEWSLETTER | 12 19
79
ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
81
ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
AFAS
ESA
EKA
ESMA
See you in Warsaw5 mdash 6 N O V E M B E R
SAVE THE DATE
5 ndash 6 November 2021 | See you in Warsaw
Congratulations to ESA for winning the overall prize of Best Section Performance
ESSKA Section Award winner
18
ESSKA NEWSLETTER | 12 19
19
ESSKA NEWSLETTER | 12 19
ESSKA-AFAS News
Race to Milan
JAMES CALDERESSKA-AFAS Chairman
I would like to sincerely thank all those involved in ESSKArsquos First Speciality Days event that took place in Madrid on the 8-9 November Daniel Haverkamp as the scientific chairman put a great AFAS Section programme together providing ample time for discussion and we succeeded in moving away from the usual lecture-based format to promote debate amongst our ldquoexpertsrdquo and the audience Prof Alastair Younger flew in from Vancouver and delivered some great talks based on his wealth of experience The ldquoHot-Topicrdquo debate was held between Prof Bill Ribbans (UK) and Mike Butler (UK) in support of the routine use for the Internal Bracereg for lateral ligament reconstruction pitched against Alastair Younger and myself Alastairrsquos team was unanimously declared as the winner by me (The audience were swayed in the direction of considering the brace more frequently in specific situations and therefore from a democratic point of view perhaps we losthellip) It proved interesting to see how a didactic (black and white) approach to a complex problem may lead to those with very firmly held views recognising the other sidersquos point of view This is something I would like to encourage in future meetings
The following take home messages stood outfrom the meeting
Cartilage bull Deal with instability at same time as OCLbull Larger lesions ndash AOTS can work wellbull Tibial plafond lesions have variable outcome following microfracturebull Biologics ndash still not known (could some be detrimental)
Biologics bull We need studies before their use can be justified routinelybull Some biologics may be beneficial but some actually may cause more problems
bull We need standardised reporting of constituents and outcomes from PRPBMAc and perhaps this is something AOFAS and AFAS could collaborate on in the future
Syndesmosisbull Use the tools to make diagnosisbull CT to check reduction if screw fixationbull Reconstruction if late diagnosisbull Consider repair superficial deltoid (need evidence)
Arthritis in sportbull Excise osteophytes for ant impingementbull Fusions can workbull Ankle replacements
Away from the scientific content it was a great occasion to catch up and socialise with friends and colleagues ndash Madrid is such a great venue for food and nightlife It seemed a shame that it was interrupted so early on Friday and Saturday morning by some important lectures
In addition to the main programme we also held an AFAS board meeting and the members meeting in advance of the ESSKA congress that will take place in Milan in May 2020 Following proposals from members and then a vote Chris Pearce has been announced as the next vice-chairman of AFAS to take over from Daniel Haverkamp as he takes up my position in May 2020 We have also put together a scientific programme for the ESSKA congress in Milan based upon the feedback and suggestions from AFAS members
As to future education events the ldquoAll Aboutrdquo ankle cadaveric meeting in Munich takes place in December and I will report on this in the next issue A further cadaveric AFAS course has been agreed for 2020 and I will provide details on this in the new year The Ankle Instability Group
is holding an AFAS Members meeting in Ashville USA in June 2020 Peter Mangone is hosting the meeting and will forward details to all members over the forthcoming months (picture and map of location below)
The Achilles Tendon Study Group is organising a consensus and AFAS members meeting in 2021 in St Petersburg ndash the date is yet to be confirmed However Mike Carmont will relay this to you as soon as it is finalised We plan to run it as a 3 day course from Wed-Fri
AFAS is running for Science and please join in free from home
Winner gets a prizeFastest runner gets a prize
(At the moment there seems to be one AFAS member who may be using a bike judging by how far ahead he is)
ESSKA-AFASRun to Milan
20
ESSKA NEWSLETTER | 12 19
21
ESSKA NEWSLETTER | 12 19
ESSKA-ESA continues to thrive As expected ESSKArsquos Speciality Days gave us an opportunity to share ideas and future projects with ESSKArsquos other Sections as well as to take stock in one of the most contentious topics of modern shoulder surgery the management of massive rotator cuff tearsA few decades ago the goal of shoulder surgery was any kind of functional improvement over the pre-operative condition Nowadays technological advancements in diagnosis and treatment options as well as a better understanding of biology and biomechanics have set the bar much higher The main goal nowadays is a successful functional result and a full biological healing when joint preserving options are suitableHowever treatment of massive cuff tears remains a challenge Higher re-tear rates and low functional results are still commonly reported in the literature after open or arthroscopic repairs Up to now this is one of the worst reverses for shoulder surgery Dozens of surgical options have been reported but therersquos still no consensus about treating a massive cuff tear to avoid a re-tear Indeed the situation is even more confused when it comes to treating massive cuff re-tears Therefore ESA felt that some focus on the problem was needed And ESSKArsquos Speciality Days seemed to be a perfect opportunity A detailed programme was prepared It started by defining massive cuff tear then passed to biologic enhancement options conservative as well as surgical strategies and rehabilitation in both scenarios up to clarification of the demarcation line between joint preserving options and shoulder replacement and finally concluded by understanding how to manage failure even after a reverse shoulder arthroplasty Intense discussions after these sessions and case presentations made for a successful meeting ESSKArsquos Speciality Days allowed ESA to assemble the most experienced European shoulder surgeons in a stunning location But what really made the difference was the active participation of ESA members In his conclusive speech Dr Nuno Gomes pointed out that the contents of presentations and discussions were remarkable especially taking into account the relevance of the
issues addressed A definitive conclusion on the best treatment modality in treating massive cuff tears probably cannot be drawn yet However ESSKA Speciality Days showed us a wide variety of viable surgical techniques concluding that the best option is up to now probably related to patientrsquos functional demand and surgeonrsquos experienceESArsquos Programme Chairmen are deeply grateful to all members who joined the meeting in Madrid and took an active part in the scientific sessions Moreover the ESA board is proud to announce that ESA section has been awarded as ldquothe best ESSKA section performance 2019rdquo Nevertheless the ESSKA Speciality Days also represented a unique moment to celebrate talent creativity and commitment of members who strongly supported our social media activities during the last year The winner of the first ldquoESA Social Media Awardrdquo was Dr Adrian Blasiak All contributors also received a special mention ldquoBest ESA research paperrdquo was assigned to Dr Lucca Lacheta ESArsquos mission is to provide the best help for young as well as experienced shoulder surgeons to keep enhancing their clinical and surgical skills by keeping ahead of developments As a scientific body ESA plays a role of the utmost importance in education and professional networking We hoped to have achieved this in Madrid If you missed this opportunity but want to play your part in shoulder surgery please donrsquot forget to visit the ESA website and Facebook page and then join us
ESSKA-EKA Highlightsfrom the Speciality Days in Madrid
The topic of this yearrsquos EKA Speciality days was Alignment in Total Knee Arthroplasty The scientific programme started with imaging modalities and analysis techniques for the measurement of lower limb alignment ranging from X-rays to CT and MRI The debate on the controversial topic of anatomical mechanical versus kinematic individualised alignment in TKA followed We still do not know what the best alignment method is for our patients moreover we still do not know if the newer alignment techniques result in superior patient outcomes compared to the classical mechanical alignment The next focus of the meeting was alignment in a high tibial osteotomy and distal femur osteotomy which included a combination of classical and new techniques and the addition of ligament reconstruction to HTO and patient-specific saw guides The afternoon symposia covered sagittal coronal and rotational alignment of TKA components The second day started with the symposium on how to ensure the correct alignment in the digital era focusing on digital planning patient-specific instrumentation and robotics In addition to the symposia and the innovative Hot Topic Debate lively discussions took place in the free paper sessions across a variety of topics ranging from HTO to TKA and roboticsSeveral take-home messages emerged from the discus-sions Although plain radiographs and 2D imaging are the cornerstones of measuring and analysing alignment
advanced imaging techniques such as CT EOS MRI and SPECT provide additional information to better achieve the desired alignment and to evaluate painful TKAMechanical alignment is still the main goal for most surgeons however other philosophies such as kinematic anatomic and individualized alignment may improve midterm patient outcomes without an increase in wear and loosening rates in select patients without significant deformity and bone loss Although there are no precise cut off points there are safe zones for implant alignment and the focus should be on preserving the soft tissue envelope aiming for a more natural knee New technologies such as PSI CAS robotics and accelerometer-based inserts may increase the accuracy of alignment in all three planes however the effect of increased accuracy on patient outcomes is still controversial Despite advances in technology the surgeon is still the most crucial factor in ensuring the best outcome for our patients and finally No the machines are not taking over our orthopaedic expertise (at least not yet)Many thanks go to our faculty and highlight speakers for their time and effort in making this first Speciality Days a memorable scientific event Special thanks to our members and delegates who filled the largest auditorium in the congress centre from 715am and contributed to the lively discussions We look forward to the 2021 edition in Warsaw
NANNE KORTESSKA-EKA Chairman
REHA N TANDOGANESSKA-EKA Secretary
ESSKA-ESA Highlightsfrom the Speciality Days in Madrid
GIUSEPPE MILANOESSKA-ESA Chairman
22
ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
42
ESSKA NEWSLETTER | 12 19
43
ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
44
ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
46
ESSKA NEWSLETTER | 12 19
47
ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
48
ESSKA NEWSLETTER | 12 19
49
ESSKA NEWSLETTER | 12 19
ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
79
ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
18
ESSKA NEWSLETTER | 12 19
19
ESSKA NEWSLETTER | 12 19
ESSKA-AFAS News
Race to Milan
JAMES CALDERESSKA-AFAS Chairman
I would like to sincerely thank all those involved in ESSKArsquos First Speciality Days event that took place in Madrid on the 8-9 November Daniel Haverkamp as the scientific chairman put a great AFAS Section programme together providing ample time for discussion and we succeeded in moving away from the usual lecture-based format to promote debate amongst our ldquoexpertsrdquo and the audience Prof Alastair Younger flew in from Vancouver and delivered some great talks based on his wealth of experience The ldquoHot-Topicrdquo debate was held between Prof Bill Ribbans (UK) and Mike Butler (UK) in support of the routine use for the Internal Bracereg for lateral ligament reconstruction pitched against Alastair Younger and myself Alastairrsquos team was unanimously declared as the winner by me (The audience were swayed in the direction of considering the brace more frequently in specific situations and therefore from a democratic point of view perhaps we losthellip) It proved interesting to see how a didactic (black and white) approach to a complex problem may lead to those with very firmly held views recognising the other sidersquos point of view This is something I would like to encourage in future meetings
The following take home messages stood outfrom the meeting
Cartilage bull Deal with instability at same time as OCLbull Larger lesions ndash AOTS can work wellbull Tibial plafond lesions have variable outcome following microfracturebull Biologics ndash still not known (could some be detrimental)
Biologics bull We need studies before their use can be justified routinelybull Some biologics may be beneficial but some actually may cause more problems
bull We need standardised reporting of constituents and outcomes from PRPBMAc and perhaps this is something AOFAS and AFAS could collaborate on in the future
Syndesmosisbull Use the tools to make diagnosisbull CT to check reduction if screw fixationbull Reconstruction if late diagnosisbull Consider repair superficial deltoid (need evidence)
Arthritis in sportbull Excise osteophytes for ant impingementbull Fusions can workbull Ankle replacements
Away from the scientific content it was a great occasion to catch up and socialise with friends and colleagues ndash Madrid is such a great venue for food and nightlife It seemed a shame that it was interrupted so early on Friday and Saturday morning by some important lectures
In addition to the main programme we also held an AFAS board meeting and the members meeting in advance of the ESSKA congress that will take place in Milan in May 2020 Following proposals from members and then a vote Chris Pearce has been announced as the next vice-chairman of AFAS to take over from Daniel Haverkamp as he takes up my position in May 2020 We have also put together a scientific programme for the ESSKA congress in Milan based upon the feedback and suggestions from AFAS members
As to future education events the ldquoAll Aboutrdquo ankle cadaveric meeting in Munich takes place in December and I will report on this in the next issue A further cadaveric AFAS course has been agreed for 2020 and I will provide details on this in the new year The Ankle Instability Group
is holding an AFAS Members meeting in Ashville USA in June 2020 Peter Mangone is hosting the meeting and will forward details to all members over the forthcoming months (picture and map of location below)
The Achilles Tendon Study Group is organising a consensus and AFAS members meeting in 2021 in St Petersburg ndash the date is yet to be confirmed However Mike Carmont will relay this to you as soon as it is finalised We plan to run it as a 3 day course from Wed-Fri
AFAS is running for Science and please join in free from home
Winner gets a prizeFastest runner gets a prize
(At the moment there seems to be one AFAS member who may be using a bike judging by how far ahead he is)
ESSKA-AFASRun to Milan
20
ESSKA NEWSLETTER | 12 19
21
ESSKA NEWSLETTER | 12 19
ESSKA-ESA continues to thrive As expected ESSKArsquos Speciality Days gave us an opportunity to share ideas and future projects with ESSKArsquos other Sections as well as to take stock in one of the most contentious topics of modern shoulder surgery the management of massive rotator cuff tearsA few decades ago the goal of shoulder surgery was any kind of functional improvement over the pre-operative condition Nowadays technological advancements in diagnosis and treatment options as well as a better understanding of biology and biomechanics have set the bar much higher The main goal nowadays is a successful functional result and a full biological healing when joint preserving options are suitableHowever treatment of massive cuff tears remains a challenge Higher re-tear rates and low functional results are still commonly reported in the literature after open or arthroscopic repairs Up to now this is one of the worst reverses for shoulder surgery Dozens of surgical options have been reported but therersquos still no consensus about treating a massive cuff tear to avoid a re-tear Indeed the situation is even more confused when it comes to treating massive cuff re-tears Therefore ESA felt that some focus on the problem was needed And ESSKArsquos Speciality Days seemed to be a perfect opportunity A detailed programme was prepared It started by defining massive cuff tear then passed to biologic enhancement options conservative as well as surgical strategies and rehabilitation in both scenarios up to clarification of the demarcation line between joint preserving options and shoulder replacement and finally concluded by understanding how to manage failure even after a reverse shoulder arthroplasty Intense discussions after these sessions and case presentations made for a successful meeting ESSKArsquos Speciality Days allowed ESA to assemble the most experienced European shoulder surgeons in a stunning location But what really made the difference was the active participation of ESA members In his conclusive speech Dr Nuno Gomes pointed out that the contents of presentations and discussions were remarkable especially taking into account the relevance of the
issues addressed A definitive conclusion on the best treatment modality in treating massive cuff tears probably cannot be drawn yet However ESSKA Speciality Days showed us a wide variety of viable surgical techniques concluding that the best option is up to now probably related to patientrsquos functional demand and surgeonrsquos experienceESArsquos Programme Chairmen are deeply grateful to all members who joined the meeting in Madrid and took an active part in the scientific sessions Moreover the ESA board is proud to announce that ESA section has been awarded as ldquothe best ESSKA section performance 2019rdquo Nevertheless the ESSKA Speciality Days also represented a unique moment to celebrate talent creativity and commitment of members who strongly supported our social media activities during the last year The winner of the first ldquoESA Social Media Awardrdquo was Dr Adrian Blasiak All contributors also received a special mention ldquoBest ESA research paperrdquo was assigned to Dr Lucca Lacheta ESArsquos mission is to provide the best help for young as well as experienced shoulder surgeons to keep enhancing their clinical and surgical skills by keeping ahead of developments As a scientific body ESA plays a role of the utmost importance in education and professional networking We hoped to have achieved this in Madrid If you missed this opportunity but want to play your part in shoulder surgery please donrsquot forget to visit the ESA website and Facebook page and then join us
ESSKA-EKA Highlightsfrom the Speciality Days in Madrid
The topic of this yearrsquos EKA Speciality days was Alignment in Total Knee Arthroplasty The scientific programme started with imaging modalities and analysis techniques for the measurement of lower limb alignment ranging from X-rays to CT and MRI The debate on the controversial topic of anatomical mechanical versus kinematic individualised alignment in TKA followed We still do not know what the best alignment method is for our patients moreover we still do not know if the newer alignment techniques result in superior patient outcomes compared to the classical mechanical alignment The next focus of the meeting was alignment in a high tibial osteotomy and distal femur osteotomy which included a combination of classical and new techniques and the addition of ligament reconstruction to HTO and patient-specific saw guides The afternoon symposia covered sagittal coronal and rotational alignment of TKA components The second day started with the symposium on how to ensure the correct alignment in the digital era focusing on digital planning patient-specific instrumentation and robotics In addition to the symposia and the innovative Hot Topic Debate lively discussions took place in the free paper sessions across a variety of topics ranging from HTO to TKA and roboticsSeveral take-home messages emerged from the discus-sions Although plain radiographs and 2D imaging are the cornerstones of measuring and analysing alignment
advanced imaging techniques such as CT EOS MRI and SPECT provide additional information to better achieve the desired alignment and to evaluate painful TKAMechanical alignment is still the main goal for most surgeons however other philosophies such as kinematic anatomic and individualized alignment may improve midterm patient outcomes without an increase in wear and loosening rates in select patients without significant deformity and bone loss Although there are no precise cut off points there are safe zones for implant alignment and the focus should be on preserving the soft tissue envelope aiming for a more natural knee New technologies such as PSI CAS robotics and accelerometer-based inserts may increase the accuracy of alignment in all three planes however the effect of increased accuracy on patient outcomes is still controversial Despite advances in technology the surgeon is still the most crucial factor in ensuring the best outcome for our patients and finally No the machines are not taking over our orthopaedic expertise (at least not yet)Many thanks go to our faculty and highlight speakers for their time and effort in making this first Speciality Days a memorable scientific event Special thanks to our members and delegates who filled the largest auditorium in the congress centre from 715am and contributed to the lively discussions We look forward to the 2021 edition in Warsaw
NANNE KORTESSKA-EKA Chairman
REHA N TANDOGANESSKA-EKA Secretary
ESSKA-ESA Highlightsfrom the Speciality Days in Madrid
GIUSEPPE MILANOESSKA-ESA Chairman
22
ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
42
ESSKA NEWSLETTER | 12 19
43
ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
44
ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
46
ESSKA NEWSLETTER | 12 19
47
ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
79
ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
20
ESSKA NEWSLETTER | 12 19
21
ESSKA NEWSLETTER | 12 19
ESSKA-ESA continues to thrive As expected ESSKArsquos Speciality Days gave us an opportunity to share ideas and future projects with ESSKArsquos other Sections as well as to take stock in one of the most contentious topics of modern shoulder surgery the management of massive rotator cuff tearsA few decades ago the goal of shoulder surgery was any kind of functional improvement over the pre-operative condition Nowadays technological advancements in diagnosis and treatment options as well as a better understanding of biology and biomechanics have set the bar much higher The main goal nowadays is a successful functional result and a full biological healing when joint preserving options are suitableHowever treatment of massive cuff tears remains a challenge Higher re-tear rates and low functional results are still commonly reported in the literature after open or arthroscopic repairs Up to now this is one of the worst reverses for shoulder surgery Dozens of surgical options have been reported but therersquos still no consensus about treating a massive cuff tear to avoid a re-tear Indeed the situation is even more confused when it comes to treating massive cuff re-tears Therefore ESA felt that some focus on the problem was needed And ESSKArsquos Speciality Days seemed to be a perfect opportunity A detailed programme was prepared It started by defining massive cuff tear then passed to biologic enhancement options conservative as well as surgical strategies and rehabilitation in both scenarios up to clarification of the demarcation line between joint preserving options and shoulder replacement and finally concluded by understanding how to manage failure even after a reverse shoulder arthroplasty Intense discussions after these sessions and case presentations made for a successful meeting ESSKArsquos Speciality Days allowed ESA to assemble the most experienced European shoulder surgeons in a stunning location But what really made the difference was the active participation of ESA members In his conclusive speech Dr Nuno Gomes pointed out that the contents of presentations and discussions were remarkable especially taking into account the relevance of the
issues addressed A definitive conclusion on the best treatment modality in treating massive cuff tears probably cannot be drawn yet However ESSKA Speciality Days showed us a wide variety of viable surgical techniques concluding that the best option is up to now probably related to patientrsquos functional demand and surgeonrsquos experienceESArsquos Programme Chairmen are deeply grateful to all members who joined the meeting in Madrid and took an active part in the scientific sessions Moreover the ESA board is proud to announce that ESA section has been awarded as ldquothe best ESSKA section performance 2019rdquo Nevertheless the ESSKA Speciality Days also represented a unique moment to celebrate talent creativity and commitment of members who strongly supported our social media activities during the last year The winner of the first ldquoESA Social Media Awardrdquo was Dr Adrian Blasiak All contributors also received a special mention ldquoBest ESA research paperrdquo was assigned to Dr Lucca Lacheta ESArsquos mission is to provide the best help for young as well as experienced shoulder surgeons to keep enhancing their clinical and surgical skills by keeping ahead of developments As a scientific body ESA plays a role of the utmost importance in education and professional networking We hoped to have achieved this in Madrid If you missed this opportunity but want to play your part in shoulder surgery please donrsquot forget to visit the ESA website and Facebook page and then join us
ESSKA-EKA Highlightsfrom the Speciality Days in Madrid
The topic of this yearrsquos EKA Speciality days was Alignment in Total Knee Arthroplasty The scientific programme started with imaging modalities and analysis techniques for the measurement of lower limb alignment ranging from X-rays to CT and MRI The debate on the controversial topic of anatomical mechanical versus kinematic individualised alignment in TKA followed We still do not know what the best alignment method is for our patients moreover we still do not know if the newer alignment techniques result in superior patient outcomes compared to the classical mechanical alignment The next focus of the meeting was alignment in a high tibial osteotomy and distal femur osteotomy which included a combination of classical and new techniques and the addition of ligament reconstruction to HTO and patient-specific saw guides The afternoon symposia covered sagittal coronal and rotational alignment of TKA components The second day started with the symposium on how to ensure the correct alignment in the digital era focusing on digital planning patient-specific instrumentation and robotics In addition to the symposia and the innovative Hot Topic Debate lively discussions took place in the free paper sessions across a variety of topics ranging from HTO to TKA and roboticsSeveral take-home messages emerged from the discus-sions Although plain radiographs and 2D imaging are the cornerstones of measuring and analysing alignment
advanced imaging techniques such as CT EOS MRI and SPECT provide additional information to better achieve the desired alignment and to evaluate painful TKAMechanical alignment is still the main goal for most surgeons however other philosophies such as kinematic anatomic and individualized alignment may improve midterm patient outcomes without an increase in wear and loosening rates in select patients without significant deformity and bone loss Although there are no precise cut off points there are safe zones for implant alignment and the focus should be on preserving the soft tissue envelope aiming for a more natural knee New technologies such as PSI CAS robotics and accelerometer-based inserts may increase the accuracy of alignment in all three planes however the effect of increased accuracy on patient outcomes is still controversial Despite advances in technology the surgeon is still the most crucial factor in ensuring the best outcome for our patients and finally No the machines are not taking over our orthopaedic expertise (at least not yet)Many thanks go to our faculty and highlight speakers for their time and effort in making this first Speciality Days a memorable scientific event Special thanks to our members and delegates who filled the largest auditorium in the congress centre from 715am and contributed to the lively discussions We look forward to the 2021 edition in Warsaw
NANNE KORTESSKA-EKA Chairman
REHA N TANDOGANESSKA-EKA Secretary
ESSKA-ESA Highlightsfrom the Speciality Days in Madrid
GIUSEPPE MILANOESSKA-ESA Chairman
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ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
42
ESSKA NEWSLETTER | 12 19
43
ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
44
ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
46
ESSKA NEWSLETTER | 12 19
47
ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
22
ESSKA NEWSLETTER | 12 19
23
ESSKA NEWSLETTER | 12 19
Sport Injuries ndash New ConceptsThe ESSKA-ESMA Topic in Speciality Days in Madrid
HENRIQUE JONES HERMANN MAYR WERNER KRUTSCH JACQUES MENETREY
From the beginning of time athletes have strived to be stronger faster and more skilled But with the modern intensity of training sports injuries (both acute and overloaded) have also became more frequent
To combat our modern sports injuries we have specialised sports medicine orthopaedic surgery and physiotherapy to provide athletes with diagnostics surgery rehabilitation and preventive services Sports medicine might be said to have started with Galen (129AC-216AC) [2] who was chief physician to a troop of gladiators maintained by the high priest of Asia [1] and urged everybody to take up sport ldquotake fresh air get a good sleep eat and drink properly control emotions and empty bowels once a dayrdquo and ldquono activity is exercise unless you become breathlessrdquo But in Galenrsquos era the physician only got involved after therersquod been an injury By the time of Santorio Santorius (1561 to 1636) and Bernardino Ramazzini (1633 to 1714) sports medicine had developed techniques to promote health and fitness and ensure the safety and well-being of participating athletes
During ESSKArsquos Speciality Days in Madrid ESMA discussed lsquoThe Injured Athletersquo and how we could help him understand and treat his injuries as well as to helping lsquoThe Healthy Athletersquo to prevent injuries and make better use of
the available technology Muscle and Tendon injuries were addressed in some detail mdash they are the commonest sports injuries nowadays mdash as well as meniscus controversies
ESMA is also concerned with performing arts injuries and what one might term ldquogesturalrdquo injuries We were in Spain where bullfighting is a cultural meme [3] was brought to the limelight by Hemingways novel A Sun Also Rises and remains an attraction for travellers despite the disputes between moral activists and die-hard bullfighting followers It therefore seemed appropriate to consider the injuries specific to bullfighting
And so finally to our highlight speaker ldquoMr Football Doctorrdquo Michel D`Hooghe and his round table about ldquoInjured Athlete From the field to the field and retired players what changesrdquo
Our thanks to everyone who contributed both speakers and delegates and who allowed us to show ESMArsquos activities our concerns and our desire to improve sports medicine
REFERENCES
[1] Peltier LF Geronimo Mercuriali (1530-1606) and the first illustrated book on sports medicine Clin Orthop Relat Res 1985 (198)21-24[2] Appelboom T Rouffin C Fierens E Sport and medicine in ancient Greece Am J Sports Med 1988 16594-596[3] Fiske-Harrison Alexander ldquoPerhaps bullfighting is not a moral wrong My talk at the Edinburgh International Book Festivalrdquo The Last Arena In Search of the Spanish Bullfight blog 25 July 2012
TAKE HOME MESSAGES
Arts and Sports Injury CorrelationArt performers like musicians circus artists dancers horse and bull performers have general and specific muscle-skeletal injuries similar to traditional sports The aim of this session was to understand this injuries in order to elaborate the best approach of treatment and prevention based on sports medicine experience
Tendon InjuriesTendon is a special tissue with specific composition histological particularities and structural architecture The aim of this session was to understand taking into account those particularities the correlation between injury classification adequate diagnosis therapeutics and functional response under sports gesture Adequate prevention exercises treatment decisions and safe return to sports are the keys of treatment success and re-injury prevention
Hot Topic Debate MeniscusFinal recommendations contemplate meniscus preservation whenever possible (20 of meniscus ruptures) taking into account the multiple repair techniques and their specific indications
Muscle InjuriesImportance of injury mechanism and correct diagnosis in therapeutic success of muscle injuries The adoption of an easy and embracing classification should be of major importance regarding clarification and understanding between medical teams in sports Importance of muscle surgery indications in top athletes Adequate conservative treatment progression safe return to sports and prevention as key points to avoid re-injuries
Recover and PerformanceThe importance of recover strategies like cryotheraphy oxygen therapy and adequate rest and sleep in performance results Supplements biomarkers and metabolomics and their importance in sports and athletes welfare
Football MedicineWhat changed in the game through the years More and faster matches less recovery time different surfaces results and economics their contribution for severe injuries Early specialisation and unusual injuries in children a concern to all sports medical teams Injury experience for athletes coaches and football doctors The retired athlete and physical psychological and social changes that we must understand and support
ESMA SD Scientific Programme Chairs
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
42
ESSKA NEWSLETTER | 12 19
43
ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
44
ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
46
ESSKA NEWSLETTER | 12 19
47
ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
48
ESSKA NEWSLETTER | 12 19
49
ESSKA NEWSLETTER | 12 19
ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
78
ESSKA NEWSLETTER | 12 19
79
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
80
ESSKA NEWSLETTER | 12 19
81
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
esska2020kit-grouporgwwwesska-congressorg
David Dejour mdash FRANCE
ESSKA PRESIDENT
See you in Milan
Matteo Denti mdash ITALYSWITZERLAND
ESSKA CONGRESS 2020 PRESIDENT
Ci vediamo a Milano
As you know at ESSKA we like to work hard
and play hard During the days of the Congress
we work hard on our education sharing
knowledge with our peers learning the latest
techniques in our field and collecting tips and
tricks to help us all in our everyday work and
daily challenges
And when the work is done we play hard
At ESSKA we like to relax and have fun The
Congress offers multiple opportunities to catch
up with old friends meet new friends and of
course to party In fact we take partying so
seriously that we have even created a guide for
you of how to party with us
We are happy to share with you this short video
to help make sure you get the best out of the
party opportunities
So when the festive season draws to a close we
advise you to take some time to recharge your
batteries and get ready to let your hair down at
the legendary ESSKA Gala Dinner and Party
More details in the following pages
See you at the Congress and on the dancefloor
HIGHLIGHT LECTURES
ESSKA PRESIDENT
David Dejour (France)
CONGRESS PRESIDENT
Matteo Denti (ItalySwitzerland)
SCIENTIFIC CHAIRS
Michael T Hirschmann (Switzerland)
Kristian Samuelsson (Sweden)
Elizaveta Kon (Italy)
Ejnar Eriksson Lecture ACL Reconstruction from the Past to Present
What Have I Learned from Ejnar
Matteo Denti (ItalySwitzerland)
Werner Muumlller LectureThe Anterolateral Soft Tissues ndash Fact and Fiction
Andy Williams (United Kingdom)
ACL The Challenge of Treating Knee Injuries in Professional Alpine
Skiing ndash A Journey from Arthroscopy to Total Knee Replacement
Christian Fink (Austria)
Cartilage Biomaterials and Innovative Tissue Technologies
for Knee Repair
Daniel Saris (United States)
Knee Arthroplasty Fashion versus Science in Total Knee Arthroplasty
Michael Mont (United States)
Shoulder Stem Cells in Rotator Cuff Repair
Pietro Randelli (Italy)
Hip Femoroacetabular Impingement the Pursuit of Evidence
Olufemi Ayeni (Canada)
Knee Functional Reconstruction of the Knee from Sports
Medicine to Joint Reconstruction
Maurilio Marcacci (Italy)
Ankle from Sprain to TOPIC Topcare for Ankle Cartilage
Injuries in Sports Gino Kerkhoffs (The Netherlands)
Registration
and Accommodation
booking is now open
EARLY REGISTRATIONuntil 24 February 2020
ESSKA Member Senior MD
41500 euro
Non-Member Senior MD
69000 euro
ESSKA Member Resident Fellow Scientist Physiotherapist
23000 euro
Non-Member Resident Fellow Scientist Physiotherapist
44000 euro
ESSKA Member Student
11500 euro
Non-Member Student
16500 euro
Italian VAT of 22 is included in the prices
ESSKA members receive fantastic discounts on registration fees and many other benefits If you are not a member join ESSKA today
Fashion Meets Science
click here to party
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
42
ESSKA NEWSLETTER | 12 19
43
ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
44
ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
46
ESSKA NEWSLETTER | 12 19
47
ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
48
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
50
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
78
ESSKA NEWSLETTER | 12 19
79
ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
80
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
esska2020kit-grouporgwwwesska-congressorg
Fashion Meets Science
This year we received
a record breaking number
of abstract submissions
Almost 2000
The Congress programme includes
2K256 hours of science
and education
7
highlight
lectures
Did you knowhellip
Donrsquot miss our Courses Meet international experts from various fields
33 ICLs
17 keynote
lectures
92 symposia
We are delighted to announce that the
prestigious Presidential Guest Lecture in Milan
will be delivered by Luigi Mazzola Luigi Mazzola
was born in Ferrara and graduated in mechanical
engineering with a major in auto vehicles in
the Turin polytechnic His Formula 1 adventure
started in Ferrari in the racing department in
1988 as a race engineer and concluded in
2009 as coordinating director of performance
development
BRIEFING WITH MICHAEL SCHUMACHER mdash F1 FERRARI TEAM
Luigi Mazzola (Italy)Presidential Guest Lecture 2020
Leadership from Ferrari F1 to the Operating Room
Donrsquot miss this fascinating and inspiring
lecture on Thursday 7 May at 0930
in the Gold Room
Fashion meets Science
Fashion meets Science
BRAND NEW
1st ESSKA-ESMA Certificate
Team Physician Course
7ndash8 May 2020
Team PhysicianCourse Partner
CHAIRS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
1st ESSKA-ESMA Certificate Team Physician Course
7ndash8 May 2020 (0900 ndash 1800)
COURSE SCHEDULE
Module AMedical Emergencies on the Field
Module BWhatrsquos new and what to be aware about sports medicine I
Module CMore frequent injuries I ndash diagnosis treatment and return to sports
Module D Whatrsquos new and what tobe aware about sports medicine II
Module EMore frequent injuries IIndash diagnosis treatment and return to sports Knowledge Evaluation Test
TRAINERS
External automatic defibrillation and advanced cardiovascular life support
Filipe SerralvaAntoacutenio Marques and AMEF (Portuguese Football Team Physicians Association) emergency staff
COURSE FEE
400euroESSKA Congress Delegates
450euroNon-Congress Delegates
Italian VAT of 22 is included in the prices
bull How to lead a team bull How to improve results through effective leadership bull Surgeon 40 - the evolution of the Surgeon
ORGANISERS Henrique Jones (Portugal) Stefano Della Villa (Italy)
FORMAT Lecture Series and Practical Model Workshops
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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ESSKA NEWSLETTER | 12 19
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Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA NEWSLETTER | 12 19
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
My perfect ACL Reconstruction
Osteotomy for the Knee Surgeon
Surgical techniques in UKAndash best practice
Understanding the posterolateral corner of the knee
Anterior shoulder instability repair This is how we do it
Intermediate Hip Arthroscopy
State of the Art in Ankle Arthroscopy and Ankle Cartilage Repair
ACL prevention for all What can be done
Allograft biology mechanics integration outcomes (with arthroscopy and cartilage committee according to the European Allograft Initiative)
800 E-Posters
900 Presidential Lecture by David Dejour
ESMA Team Physician Programme
Presidential Guest Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Extraarticular reconstruction in ACL deficient knee the European perspective
Shoulder Knee arthroplasty
Surgical treatment of cartilage lesions what to do when lesions are not isolated
Keynote Lecture - Shoulder
MR imaging of the hip - What the orthopaedic surgeon should know
Keynote Lecture - Ankle
Keynote Lecture - Sports Medicine
Free Papers ESMA Team Physician Programme
1100 Treatment of bone defect in shoulder instability technique and indications
EKA best Practice - Alignment in TKA
Free Papers High ankle sprains in athletes evaluation and treatment
Moving beyond the physical training the brain for primary and secondary ACL injury prevention
Keynote Lecture - Knee
Free Papers
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Individualized ACL reconstruction
Free Papers Periprosthetic Joint Infections (PJI) in 2020 a transatlantic approach
MR imaging of the knee - What the orthopaedic surgeon should know
Affiliated Societies
ESSKA - ISHA The arthroscopic approach to lateral ankle instability how do I do it
Clinical practice experience from the field How to treat lower extremity muscle tendon injuries
Free Papers ESMA Team Physician Programme
1500 ESSKA 2022 in Paris Master of Arthroscopy
ICRS - ESSKA EKA - How to do a TKA
ESSKA and FORTE Young Surgeonrsquos Forum - SHOULDER
Free Papers ESSKA and FORTE Young Surgeonrsquos Forum - ANKLE
Affiliated Societies
Anatomical optimization of BTB grafting in ACL reconstruction
Keynote Lecture - Fashion vs science in cruciate ligament surgery
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
RAMP Lesion management
Peripheral instability of the knee ndash revisited
ESSKA Keynote Lecture
Large osteochondral lesions (OCLs) in the knee joint
Free Papers Rare but potentially important injuries around the skeletally immature knee
MR imaging of the ankle amp foot - What the orthopaedic surgeon should know
Free Papers Free Papers ESMA Team Physician Programme
1700 EKA- Optimal femoral and tibial alignment in total knee arthroplasty
APKASS - ESSKA
Knee sports injuries is patient sex important (organised by ldquowomen in ESSKArdquo)
Bone edema of the knee joint where are we today
The choice is yours tips and tricks in ACL refixation and graft harvesting
Free Papers Free Papers
1800 EKA Section Members Meeting
ESA Section Members Meeting
AFAS Section Members Meeting
ESMA Section Members Meeting
Fellowship Reception
1900 Drinks Reception of the Sections
KSSTAJEO Reception
2000
Thursday 7 May 2020
Fashion Meets Science
SCIENTIFIC PROGRAMME - AT A GLANCE
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Foyer
700
Surgical techniques of the meniscus state of the art
First-Time Patellar Dislocation a Modern Treatment Strategy
Surgical techniques in primary TKA best practice
Surgical techniques in HTO ndash best practice
Fundamentals in rotator cuff repair
Basic Hip Arthroscopy I
State of the art in ankle ligament surgery
ESMA Acute Sports Trauma Management
All the secrets of elbow instability
800 E-Posters
900 Congress Opening
Ejnar Eriksson Lecture
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Werner Muumlller Lecture
Keynote Lecture - Shoulder
EKA - best practice non-operative treatment of OA in the knee ndash a case based approach
Free Papers MR imaging of the shoulder - What the orthopaedic surgeon should know
Keynote Lecture - Hip
Free Papers Free Papers Keynote Lecture - Sports Medicine
Preoperative planning of primary total knee arthroplasty1100 PANEL
DISCUSSION The role of Women in ESSKA - reasons for such an initiative specific goals and future activities
ISAKOS - ESSKA
Peritrochanteric Space Disorders
Benefits of braces in prophylaxis and sports rehabilitation
ESSKA and FORTE Young Surgeonrsquos Forum - KNEE
Stem cell treatment ndash what is fashion what is science
Keynote Lecture - Ankle
1200
Corporate Symposia Corporate Symposia
1300
Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 ACL Orthobiologics today in Europe new Stars on the catwalk
Keynote Lecture - Knee Tips and tricks of the medial and lateral UKA
Demystifying Bakerrsquos cyst
Affiliated Societies
Free Papers Extracorporeal shockwave therapy for muscuoskeletal disorders
Free Papers Free Papers Preoperative planning of high tibial osteotomy
ACL reconstruction with quad tendon 2020 all you need to know
EKA - How to do a good UKA
1500 Affiliated Societies
Arhrofibrosis of the knee - myths and facts a symposium of the German Knee Society (DKG)
Pulley lesions what it means and how to treat them
Pain management strategies in hip arthroscopy
New trends in treatment of Achilles tendon disorders
What is the evidence- PRP
ESSKA Young Surgeon`s Forum How to succeed as resident in 2020
Cartilage Deformity correction in knee arthroplasty
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
Posterolateral corner injuries Conclusions from the knee collateral ligament working group
Meniscal repair from A to Z
symposium primary TKA in 2020
Free Papers Tendon transfers in irreparable rotator cuff tears
Free Papers Fusion in the foot and ankle and sports - what is possible
Football medicine research - an update
Free Papers
1700
Star Paper Session
Root Lesions management
EKA - Patellofemoral alignment in knee arthroplasty
Knee dislocations
Free Papers Bone patellar tendon bone vs hamstring in ACL reconstruction hellip revisiting an old fight with new data
Free Papers Hands up and knees on the floor How do we tackle injury prevention in handball
ESSKA Young Surgeon`s Forum - Surgical video editing
1800
Congress Welcome Reception
1900
Newbies Meet amp Greet
Wednesday 6 May 2020
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
42
ESSKA NEWSLETTER | 12 19
43
ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
44
ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
46
ESSKA NEWSLETTER | 12 19
47
ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
48
ESSKA NEWSLETTER | 12 19
49
ESSKA NEWSLETTER | 12 19
ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
78
ESSKA NEWSLETTER | 12 19
79
ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
81
ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
Fashion Meets Science
Exhibition South Hall
Gold Plenary SR1
Auditorium SR2
Brown 3 SR3 - EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6 Hip
Space 3 SR7 AFAS
Space 4 SR8 ESMA
Amber 1+2 SR9
Amber 5+6 SR10 (Workshop room)
Amber 7+8 SR11 (meeting rooms)
700
730 Anterior Cruciate Ligament Revision Surgery How managing from simple to complex cases
Modern cartilage regeneration
Surgical techniques in revision TKA - best practice
MPFL reconsctruction - modern approach
Current evolutions in the treatment for acromioclavic-ular joint instability
Advanced Hip arthroscopy Whatrsquos new
Treatment of posterior cruciate ligament injuries
Biologic therapies in orthopaedics and sports medicine
Arthroscopic advanced techniques around the elbow
800 E-Posters
830
900 ESSKA General Assembly
ACL revision surgery video collection and debates on surgical tips and tricks
EKA - myth busting session ndash primary TKA
Patellar stabilisation surgery when do I need to do more than an isolated medial patellofemoral ligament reconstruction
Current concepts in the management of irreparable posterosuperior rotator cuff tears
Free Papers Free Papers Injury prevention in athletes - scientific evidence amp practial experience
Simple or ldquonot so simplerdquo elbow dislocation an arthroscopic approach
Team Physician Programme C More frequent injuries I - Diagnosis treatment and return to sports
Nurse Course
930
ESSKA Awards
1000Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1030 Knee Keynote Lecture - Shoulder
EKA - robotics in knee arthroplasty
Free Papers Free Papers Keynote Lecture - Hip
Keynote Lecture - Ankle
Free Papers Free Papers
1100 Evidence on MCL injuries and AMRI
AOSSM - ESSKA
Complications in shoulder surgery hoping for the best planning for the worst
Everything about the psoas
Should we EVER repair Achilles tendon rupture Summary of evidence
Rotational impairment of the forearm and forearm instability
1130 Keynote Lecture - Knee - Alignment more important than robotics in TKA
1200
1230 KSSTAJEO Reviewer Course
Corporate Symposia Corporate Symposia
1300 Team Physician Programme D Whatrsquos new and what to be aware about sports medicine II
1330Lunch Break Visit Industry Exhibition and e-Posters Lunch Break Visit Industry Exhibition and e-Posters
1400 Hip Team Physician Programme E More frequent injuries II - Diagnosis treatment and returnto sports
1430 Ankle
1500 Meniscal substitution
ESSKA-SLARD - ldquoOur approach to patelofemoral instabilityrdquo European and Latin American perspectives
EKA AAHKS symposium revision TKA in 2020
Free Papers Superior capsular reconstruction - international perspective
FAI the failed hip arthroscopy diagnosis and management
Acute syndesmotic Injuries ndash state of the art diagnosis and surgical treatment
Performing arts and sports Similarities treatment options and prevention strategies
Updates in complex procedure over arthroscopic and sport related elbow world
1530
1600Coffee Break Visit Industry Exhibition and e-Posters Coffee Break Visit Industry Exhibition and e-Posters
1630 Free Papers ACL reconstruction in patients over 50 (SFA symposium)
EKA - best practice optimised patient pathways
Affiliated Societies
Shoulder osteoarthritis in young active patients
Free Papers Techniques in ankle cartilage repair 90acute
The ACL injured patient ndash a team work
Distal biceps tendon tears and ruptures in athletes
Team Physician Programme Knowledge evaluation test
1700
1730
Transfer to Gala Dinner (venue to be confirmed) Transfer to Gala Dinner (venue to be confirmed)
1800
1830
1900
SCIENTIFIC PROGRAMME - AT A GLANCE
Thank you to theESSKA 2020 CONGRESS SPONSORS
Do you want to learn more about sponsorship and exhibition opportunities at the Congress
Please click here
Awards
Case Forum
Debates
E-posters
Free Papers
Highlight Lecture
Instructional Course Lecture
Keynote Lecture
Meetings
Team Physician Programme
Symposia
ESSKA General Assembly
Radiology Session
Brown 3 SR3 EKA
Brown 1+2 SR4
Space 1 SR5 ESA
Space 2 SR6Hip
Space 3 SR7AFAS
Space 4 SR8ESMA
900 My best 10 tips and tricks in revision TKR
Advanced Osteotomy for the Knee Surgeon
How I do my reverse shoulder replacement
Surgical techniques for treatment of patellofemoral OA- best practice
Tendinopathy from basic science to return to play
Whatrsquos new in the management of complex knee trauma
930
1000
1030Coffee Break and e-Posters
1100 EKA - revision TKA
Joint regeneration by unloading - what and when is really possible
Allograft in difficult shoulder surgeries
Affiliated Societies
Free Papers Affiliated Societies
1130
1200 Free Papers Free Papers Long head of biceps treatment if you cannot be better - just dress better
Free Papers Free Papers Free Papers
1230
Saturday 9 May 2020Friday 8 May 2020
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
41
ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
77
ESSKA NEWSLETTER | 12 19
The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
79
ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
81
ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
ESSKA Gala Dinner and PartyFriday 8 May 2020EAST END STUDIOS VIA MECENATE MILAN
A fabulous glamorous and fashionable evening of fine food music and ESSKARS
How to party with ESSKA
WATCH OUR STEP BY STEP GUIDE mdash PARTY WITH US
Stefano Signoroni
We are delighted to announce that
musical entertainment for the Gala
Dinner and Party will be provided by
Stefano Signoroni a well known Italian
singer composer and musician who
has collaborated with big International
names such as Eros Ramazzotti and
Toto
Buy your tickets when you register for the Congress
esska2020kit-grouporgwwwesska-congressorg
The presentation of ESSKARS the ESSKA Rewards for Service
will take place on Friday 8 May 2020 during the ESSKA Dinner and Party
following our tradition established at the 2014 Congress
These are awards with which we honour members and associated
organisations that have made a special contribution to ESSKA
The three categories are
Most Active Section or Committee
Most Valuable Society (affiliated or partner)
Most Dedicated Individual Member of ESSKA
Members of ESSKA can nominate other members for the Most Dedicated
Individual Member Please consult our website for nominations
Deadline 15 January 2020
Final selection for all three categories is by secret voting of the Executive Board
The presentation is a spectacular ldquoHollywood Oscarsrdquo ceremony in which the
last three nominees of each category are presented to the audience and the
winners are announced
Information on the ESSKA Dinner and Party here
Nominations for the ESSKARS at the Gala DinnerFashion Meets Science
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
36
ESSKA NEWSLETTER | 12 19
37
ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
38
ESSKA NEWSLETTER | 12 19
39
ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
We are delighted to announce that registration is now open for the third edition of the ESSKA Cycle for Science initiative
This 6-day tour will start in Pisa on 30 April 2020 and end in Milan on 5 May 2020 The tour will take riders on an unforgettable journey through some of the most magical places in Northern Italy Pisa Volterra Siena San Gimignano Florence Bologna Modena Parma Piacenza and of course the grand finale in Milan
In addition to the wonderful cycling participants will also have the opportunity to participate in evening symposia hosted by local experts
Watch now ESSKA Cycle for Science 2020 teaser
FLORENCE BOLOGNA MILAN
Register Now
esska2020kit-grouporgwwwesska-congressorg
1 Taking an Evening PasseggiataThe passeggiata is a leisurely walk or stroll taken in the evening for the
purpose of socialising It combines exercise showing off your new outfit
enjoying a drink or gelato at the local bar taking pleasure in a warm evening
and hanging out with your friends This is how to enjoy life in one simple word
3 Celebrating BeautyThe beneficial aspect of
celebrating beauty is that
Italy is full of wonderful
things to look at The
Renaissance churches
have been immaculately
preserved and buildings
and artworks all over Italy
are some of the most
ornate and breathtaking
in the world Italians
built entire town centres
out of marble and they
really do make wonderful
clothes Thumbs up for a
bit of beauty to enhance
all of our cultural
appreciation
5 Ways the Italian Lifestyle Teaches You to Appreciate Life More
4 Eating a Mediterranean DietA great deal of research on the Mediterranean diet
has proven that itrsquos good for you ndash particularly eating
plenty of tomatoes olive oil fresh fruit and veg
fresh fish and a glug or two of decent red wine In
fact itrsquos even been recognised by UNESCO as being
representative of the lsquoIntangible Cultural Heritage of
Humanityrsquo Food is a key component of the Italian
lifestyle and itrsquos one of the main reasons we all love
the country so much
2 Valuing Family TimeEvery Italian loves their nonna and any bambini
in their family Take a baby to Italy and it will be
appreciated have its little cheeks squeezed and
be passed around for cuddles
5 Talking Talking TalkingItalians love to talk We know that expressing
your emotions instead of bottling them up is
always better for your health and the Italians
have embraced that fact Hop on board an
Italian train and yoursquoll find that whoever is
sitting nearby will want to exchange a few
words The Italian lifestyle is all about enjoying
the moment and Italiansrsquo love of talking is a
good example of that
ESSKA CYCLE FOR SCIENCE
Join us Registration now open
Fashion Meets Science
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
40
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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ESSKA NEWSLETTER | 12 19
45
ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA NEWSLETTER | 12 19
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA Foundation
ROMAIN SEILESSKA Foundation Chairman
The ESSKA Foundation (EF) was established in 2013 under the aegis of the lsquoFondation de Luxembourgrsquo (FdL) with the aim of improving care and excellence in orthopaedics especially in sports medicine and degenerative joint diseases in Europe of improving musculoskeletal function and enhancing the quality-of-life of patients To achieve this the EF supports ESSKArsquos education and our research projects (both national and international) in orthopaedics and sports medicine and surgery with special emphasis on arthroscopy
The EF is a corporate sheltered foundation under the FdL a publicly recognized umbrella foundation by the Government of Luxembourg The FdL was created in 2008 and currently shelters 71 foundations Its role is to coordinate the EF to steer the management committee and to guarantee an administrative and financial monitoring according to the highest standards This means that the EF gets public recognition and support as well as professional management However the FdL does not provide any fundraising assistance The Management committee is composed of ESSKA Past-President who chairs the Foundation ESSKA Current President ESSKA First Vice President an external advisor (currently Mr Jeannot Kreckeacute former Minister of Economy and Sports of Luxembourg) as well as the director of the FdL Mrs Tonika Hirdman
From a technical point of view the EF is a hybrid foundation This means that it is partly an endowment foundation which is based on the principle that the revenue of the endowment can be used to fund specific projects At the same time it is also a so-called turnover foundation which allows it to receive external funds to support specific projects which have been previously acknowledged and which require to be steered by the management committee
The EF is currently supporting the following initiatives - The ESSKA pediatric ACL monitoring initiative (PAMI) which opened the first international orthopaedic registry in May 2018 Currently seven centres from various European countries contribute to create a large pediatric ACL database PAMI is supported by an education grant of medical industry and by the Olympic Solidarity Its steering committee is composed of Lars Engebretsen Havard Moksnes Romain Seil and Kristian Samuelsson- The ESSKA Allografts in Joint-Reconstruction Initiative which began in 2016 as a cooperation between ESSKArsquos Arthroscopy Cartilage and Basic Science Committees Its steering committee under the leadership of Tim Spalding Peter Verdonk and Laura de Girolamo managed to raise a significant amount of financial support from the medical industry It resulted in a Health Technology Appraisal (HTA) which was published in the June 2019 issue of KSSTA Currently a consensus on the need for allografts in joint reconstruction is being performed- The Cycle for Science Initiative began with ESSKArsquos Barcelona Congress of 2016 and will be continued in Milan 2020 after its success in Glasgow 2018 The outcome of the initiative is the support of the ESSKA Instructional Course Lecture Book The latter is edited by the respective program chairmen of the upcoming ESSKA congress (eg Michael Hirschmann Kristian Samuelsson and Elizaveta Kon) whereas the main organizer of the cycling initiative is Wolfgang Nebelung
Currently the EF is in a healthy financial situation At its annual meeting in June 2019 in Luxembourg the management committee expressed its appreciation towards all participants in the various activities of the EF and especially the leadership of the three initiatives for their commitment to ESSKA and the EF It also extends an invitation to active ESSKA members who want to start future activities
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
2 grants of 1 500euro in orthoregeneration availableinfin E cacy of current techniques for the repair and regeneration of
knee cartilage defects on returning athletes back to sport
infin E cacy of current techniques for the repair and regeneration of talus cartilage defects on returning athletes back to sport
Apply for grants to publish in JEOThe o cial open access journal of ESSKA
ESSKA Members General Assembly 2020mark your calendar
ESSKA members 2020 General Assemblywill be held during the ESSKA Congress in Milan
at MiCo Convention Centre in the Gold Plenary Room on
Friday 8 May 2020 ndash 9-945 hrs
WE INVITE ALL ESSKA MEMBERS TO ATTEND
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ESSKA NEWSLETTER | 12 19
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THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
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ESSKA NEWSLETTER | 12 19
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I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
THE OFFICIAL OPEN ACCESS JOURNAL OF ESSKA
JEOJournal of Experimental Orthopaedics (and Clinical Research)
The official open access journal of ESSKA
The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and the clinics
It publishes papers related to the entire field of basic sciences and clinical research studies Also with the possibility to include translational studies as well as epidemiological ones concerning all aspects of musculoskeletal disorders
Rapid peer-review and publication of high quality papers
SUBMIT YOUR PAPER wwweditorialmanagercomjexo
Free to read with open access at wwwjeo-esskacom
Prof Stefano ZaffagniniEditor-in-Chief
Editorial OfficeCentre Meacutedical76 rue drsquoEich
L-1460 LuxembourgPhone (+352) 4411-7036
Fax (+352) 4411-7678E-mail jeoesskaorg
wwwjeo-esskacom
CLINIC
AL STUDIES
INCLUDED N
OW
Journal of Experimental Orthopaedics (JEO)
STEFANO ZAFFAGNINIJEO Editor-in-Chief
These past months as the Editor-in-Chief of the Journal of Experimental Orthopaedics (JEO) have been challenging but also rife with satisfactions we received several manuscripts in a short timeframe and the most interesting ones upon fulfilling our publication standards can now be downloaded and shared by the scientific community There are more manuscripts being evaluated by our reviewers or undergoing revision which we are look forward to publishing A special thank you to all the associate editors and the editorial board who have worked tirelessly to speed up the revision process
I take this occasion to again stress on the fact that JEO has already changed its target our focus on the pre-clinical science remains strong but me and my team are interested also in clinical research concerning all fields of orthopaedics as much as ESSKArsquos official journal KSSTA For these reasons we have implemented a system that permits authors whose manuscripts are not a fit for KSSTArsquos scope to submit their revised work directly to JEO skipping the first revision
process This strategy allows researchers to get their work peer-reviewed and published faster this synergy between JEO and KSSTA has already given promising results and it will be strengthened
In addition to papers submitted autonomously I am glad to announce that we have invited some of the most important sport medicine experts to share their knowledge and their research with the journal the positive feedback I received from them was amazing and confirms their true dedication towards our ESSKA community
By the time you read this the ESSKA Speciality Days in Madrid will be over and we will be preparing for the 2020 ESSKA Milan Congress ldquotempus fugitrdquo (time flies) the Romans used to say
I will meet all of you in Milan where the definitive ldquoshaperdquo of JEO will be unveiled
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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ESSKA NEWSLETTER | 12 19
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Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA NEWSLETTER | 12 19
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
I was still operating whilst 39 weeks pregnant We joked that the sound of arthroscopy fluid hitting the floor was my water breaking It very well could have been My healthy beautiful daughter was born two days later This was the second pregnancy where I operated until delivery however my first time as an attending surgeon Several people thought I was crazy and part of me agreed with them My 17-year-old male patient and his family did not share that opinion They were aware that he could be treated by another surgeon or postpone surgery but they chose me Another patientrsquos mother shared with me ldquoI hope your baby decides to wait long enough for you to be able to treat minerdquo She didI am fortunate that both my pregnancies were uncompli-cated I did not experience the typical first trimester symp-tom of morning sickness and was able to keep my pregnancies relatively private for some time This is rare Privacy is challenging for a preg-nant Orthopaedic Sur-geon Rumors spread quickly when a female surgeon of childbearing age steps out of the room when using bone cement takes extra precautions when using fluoroscopy or even avoids drinking a beer at social events There were a few peers that became suspicious of my ear-ly pregnancy actions though no one ldquoouted merdquo and re-spected my desire to postpone any announcements until I was readyAnnouncing pregnancy is hard I was so excited as both pregnancies were planned but I dreaded sharing the news I did not know if pregnancy would be welcomed or received as stressful to those I worked with Eventually pregnancy becomes obvious and I knew it was time to say somethingMy partners in practice and previous co-residents were extremely supportive during my pregnancies They shared
excitement for my growing family and I am appreciative of their support and understanding Despite this I still feared the possibility of pregnancy complications and creating a burden by increasing workload demands I attempted scheduling prenatal appointments during off peak hours and front loading my call schedule I had a close relationship with my obstetrician who was flexible with appointments It saddens me to hear stories from other female surgeons who sacrifice their own care in order to keep partners satisfied Unfortunately that seems all too common It is not easy to be a pregnant surgeon but it is doable Operating theatres are warm under a gown and lead at baseline When you add hormones and a baby the heat is even worse I was always reassured to hear someone else in
the room ask about the patientrsquos temperature so that the thermostat could be decreased In retrospect they were probably reacting to the sweat dripping down my face I am still grateful As the baby
grew so did my belly The operating table became farther away and manipulating a leg during a scope became more challenging I was able to accommodate and even felt some benefit to having an extra ldquoshelfrdquo for positions such as maintaining valgus to work in the medial compartment of a kneeAfter working through the entire pregnancy I became a mother for the second time As an attending surgeon I took a 12-week maternity leave to adjust to life with a new baby and her big sister I am proud that during that time I also successfully prepared for completed and passed the ABOS Part II exam In my opinion life does not get better With balance I have two of the most amazing and rewarding full-time jobs Mother and Orthopaedic Surgeon
Surgery for two ndash the life of a pregnant surgeon
HEATHER MENZER MDOrthopaedic Surgeon
Division of Youth Sports MedicinePhoenix Childrens Hospital
Clinical Professor University of Arizona School of Medicine - Phoenix
Assistant Professor Mayo Schoolof Medicine
10th Knee Arthroplasty International SymposiumJulian Dutka and Paweł Skowronek Symposium Chairmen
The 10th Knee Arthroplasty International Symposium ndash 360deg Around The Degenerative Knee took place on 4-5 October 2019 in Krakoacutew Poland The meeting was organised by the Trauma and Musculoskeletal Diseases Foundation S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and SPORTOKLINIK under the patronage of ESSKA and the Polish Orthopaedics and Trauma Surgery Society The Symposium focused on new trends in the evolving field of the degenerative knee from prevention to complications Sessions were dedicated to joint preserving procedures innovations in partial and total knee arthroplasty arthroresurfacing PSI CAS robotics pain management physiotherapy blood loss management implant wear complications reasons of poor outcomes infections periprosthetic fractures and a session about revision knee arthroplasty followed by great discussion following each session
The Symposium hosted over 200 participates from many countries around the world It gave an opportunity for young researchers and orthopaedic surgeons to present their work as well as to learn from the more experience in the field The high scientific level of the meeting was enhanced by an international faculty
The Symposium was begun in 2001 by Professor Julian Dutka Head of the S Żeromski Memorial Hospital Department of Orthopaedic and Trauma Surgery and has been repeated every two years At each meeting the organizing committee tries to share some Polish history and culture This year our guests were the Collegium Maius Jagiellonian University The Jagiellonian is one of the oldest universities in Europe established in 1364 Among its alumni are the astronomer Mikołaj Kopernik the poet Wisława Szymborska the writer Stanisław Lem the King of Poland Jan III Sobieski and Pope Karol Wojtyła
On behalf of the Organising Committee of the 10th Symposium we would like to thank all the participants lectures members of the scientific committee and exhibitors for making the meeting a success Thank you ESSKA-EKA for your valuable support
We are looking forward to making the 11th Knee Arthroplasty International Symposium even more interesting Hope to see everyone in Krakoacutew in October 2021
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ESSKA NEWSLETTER | 12 19
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All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
42
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
All About Knee Arthroplasty Course by EKAThe European Knee Associates (EKA) a Section of ESSKA has just had its first
All About Knee Arthroplasty Course in St Petersburg Russia on 25-26 October 2019
Thanks to a dedicated faculty and strong cooperationwith our local colleagues from Vreden Research Institute
under the leadership of Prof Tikhilovthe course has become a success
This really expands the geography of our arthroplasty coursesand will be we hope the first of many
Please check regular announcements on EKA website
WE THANK THE COURSE FACULTY FOR THEIR TREMENDOUS WORK
DR NANNE KORTEKA Chairman Course Chairman
CortoClinicsSchijndel The Netherlands
PROF RASHID TIKHILOVOrthopaedic Surgeon
St Petersburg
DR NICKOLAY KORNILOVOrthopaedic Surgeon
St Petersburg
DR TARAS KULIABAOrthopaedic Surgeon
St Petersburg
DR ALEXANDER KAZEMIRSKIYOrthopaedic Surgeon
St Petersburg
DR DMITRIJ CHUGAEVOrthopaedic Surgeon
St Petersburg
PROF ROLAND BECKEREKA Past ChairmanKlinikum BrandenburgBrandenburg Germany
DR ALEX KARPUKHINOrthopaedic SurgeonCheboxary
DR PETR PREOBRAZENSKIYOrthopaedic SurgeonSt Petersburg
DR ALEXANDER SARAEVOrthopaedic SurgeonSt Petersburg
DR ALEXEY FILLOrthopaedic SurgeonSt Petersburg
PROF THEOFILOS KARACHALIOSOrthopaedic Surgeon
University Gebneral Hospital of LarissaSchool of health Sciences
Faculty of MedicineUniversity of Thessalia Greece
DR GEERT MEERMANSOrthopaedic SurgeonBelgium
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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Connectors are those that are able to combine people placesand concepts If you add artistic creativity and boundless
determination to this person you then describe Ejnar Erikssonwho was essential in the creation of ESSKA
On a cloudy Spring day in 2019 Sarper Gursu and myself flew to Stockholm to meet Ejnar Eriksson The meeting had been carefully planned by Prof Suzanne Werner Ejnarrsquos loving wife We all met at Arlanda airport in a comfortable chamber where Ejnarmdashseeming rather larger than lifemdashread us his paper The History of ESKA-ESSKA as seen through the eyes of its Founder This paper was already familiar but it was just grand to hear it delivered by Ejnar and then to ask him questions
In those early years according to Ejnar the important Arthroscopy meetings were all American so if a European surgeon wanted to learn about knee-surgery he had to travel to the lsquoStates Such meetings were expensive so a European Society was needed which could organize its own meetings and courses After all the science was already here
In 1981 Ejnar was attending his annual meeting in Hawaii In those days the Pan-American round-the-world fares were cheaper than direct flights and these flights happened to leave from Berlin This was a lucky twist of fate because Guumlnther Boumlhm the director of West Berlinrsquos new congress center asked Ejnarmdashas President of FIMS----to hold a meeting there Ejnar had to decline because the FIMS meeting was already fixed But the offer was renewed and became the very first European Arthroscopy Meeting when Ejnar and eleven others met to discuss the foundation of ESKA
When we asked Ejnar what his criteria had been in choosing these eleven colleagues his said Arthroscopy was so new then And all those guys mentioned here they had been doing arthroscopic surgery thats why I picked themhellipI didnt know some of them but I knew they published about arthroscopic surgery Irsquod heard them at meetings I knew they were good scientists So I picked them all and I think I picked the right people Click here to hear Enjar in his own words
The first ESKA Congress in Berlin in 1984 was attended by more than 800 people and supported by West Berlin city Ejnar was able to attract people from Eastern Europe and East Berlin It was striking to hear how these Easterners arrived subway despite the hard conditions and the strictures of the Cold War Ejnar had an anecdote about every one
Ejnar lead KSSTA for 16 years from 1993 to 2008 The idea of creating a journal for the Society dated from 1990 but could not be realized until 1993 We asked Ejnar whether what hersquod have done differently about ESSKA He was very decisive Nothing absolutely nothing ESSKA was very successful and it was one of the biggest achievements of my life
We relished Ejnars anecdotes about his long life It was interesting that hersquod received an excellent job-offer from Germany after his retirement in 1995 but refused it because ldquohe didnt like the foodrdquo and refused another from Alabama because ldquoit was too far awayrdquo but accepted an offer from Italy because hersquod held many arthroscopy courses there His attempts to make downhill-skiing safer were just adorable And his stylish royal ancestors and Alfred Nobels affection for his grandmother these had us all laughing
In Ejnars words To make a long story short ESSKA was an idea that a crazy Swedish guy had and an idea that has proven to be much better than I ever thought Its the oldest orthopaedic society in Europe its one of the biggest and its one of the most successful So it wasnrsquot such a bad idea ESSKA came along and put Europe on the map
How amazing and how true
MUSTAFA KARAHANESSKA Academy Editor
SARPER GUumlRSUHealth Sciences University
School of MedicineBaltalimanı Bone and Joint
Hospital Istanbul
1
3
8
6
5
10
4
9
7
2
1 Some of the founders of ESSKA Eriksson Trickey Hertel Van Rens Muumlller 2 The first ESSKA Meeting in Berlin 19843 Ejnar Eriksson as the President of FIMS 4 The first issue of KSSTA published in 1993
5 Eriksson delivering his speech in the 4th ESSKA Congress held in Stockholm 1990 6 Ejnar doing long distance ice skating and alpine skiing7 Ejnar and Suzanne 8 Ejnar liked to run chasing himself on the track 9 Suzanne Werner Ejnar Eriksson Mustafa Karahan 10 Ejnar Eriksson
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ESSKA NEWSLETTER | 12 19
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Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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Arthroscopy CommitteeKnee Collateral Ligaments Working Group (KCL)
PABLO GELBERCo-Chairman of the Arthroscopy Committee
Chairman of the Knee Collateral Ligament Working Group
The KCL keeps pushing its targets on the posterolateral corner of the knee At the time of writing our main event is 4 weeks ahead This is the unique Posterolateral Corner of the Knee Learn its secrets course This fully-booked course focuses in traditional as well as innovative surgical techniques Six to seven surgical techniques will be performed by each participant Standard open approaches mini open techniques and fully arthroscopic PLC reconstructions all together Also some tips-and-tricks for wonderful anatomic dissections--and how to photograph them better--will be an extra All these will be posted on ESSKArsquos Academy so everyone will access this priceless information
Once our Expert Consensus has been published in KSSTA it will be time for our World Survey which was filled out by 1000 surgeons from the 5 Continents You will also see these results in KSSTA shortly
The Journal of Experimental Research (JEO) will also soon publish some guidelines about the required graft length for each specific PLC reconstruction technique Great to keep it in the pocket for your surgical planning
For Milan 2020 an ICL and a symposium highlighting the main findings of the KCL will be offered While the ICL will be summarized in ESSKArsquos ICL book we will also summarize the symposium in a freely distributed electronic booklet
Finally a secret briefing for all those passionate surgeons in love with knee collateral ligaments for 2020-2022 we will switch our focus to the medial side of the knee The new chairman will be Dr James Robinson from UK If you are an expert in such matters please contact me at personaldrgelbercom to participate in the new project
Committee Members 2018-2020involved in the KCL Working Group
Chairman Pablo Gelber (Spain)
MembersKarl-Heinz Frosch (Germany)Jorge Chahla (US)James Robinson (UK)Brett Fritsch (Australia)Manuel Leyes (Spain)Bjoumlrn Barenius (Sweden)Nicolas Pujol (France)Thomas Tischer (Germany)Fabrizio Margheritini (Italy)
ESSKArsquos first Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo in Luxembourg in June 2019 was a success ESSKArsquos Basic Science Committee will now repeat the course every year in Luxembourg
Surgeons should not only be able to use research but also to do research However throughout Europe there is a problem about in acquiring this skill after medical training Postgraduate opportunities for medical research vary enormously Likewise residency training is usually focused on clinical-competence and research is not often encouraged Our Course hopes to
bull Train delegates in three Areas of Competence General Competence how to synthesize findings and draw conclusions from those findings Using Research how to plan and carry out a literature search and how to appraise research evidence Finally Doing Research how to formulate a research question as a hypothesis and how to gather and then analyse results
bull Train delegates to carry out research in their daily clinical practice to improve patient care and therefore the quality of life of patients
bull Train delegates to plan and conduct a clinical study to familiarize the regulatory guidelines to interpret the data as well as to explaining them by manuscript or lectureThe course offers a balanced programme of lectures and practical group sessions Regardless of the delegatesrsquo background or research experience it provides an opportunity to engage with renowned speakers as well as meeting peers from different backgrounds Although the basic-course remains the same each year we shall adapt the content to your needs and wersquoll add new features
Please remember when you register to submit your proposal for clinical study We shall select the best ideas and develop them during the course And wersquoll offer free support to the winner over a 2-year period
So donrsquot hesitate to join for the next course to be held in Luxembourg 5-6 June 2020 We look forward to seeing you
CAROLINE MOUTONBasic Science Committee
Vice-Chairwoman
BARIS KOCAOGLUBasic Science Committee
Member
LAURA DE GIROLAMOBasic Science Committee
Chairwoman
ESSKA Basic Science CommitteeESSKA Advanced Methodological Course ldquoAll about clinical studies and publishingrdquo
14-15 June 2019 in Luxembourg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA Under 45 Meeting in Bucharest Hip Arthroscopy Committee A Focus on Education
OCTAV RUSSUU45 Committee Chairman
ESSKA Under 45 Committee exists for collaboration between young European orthopaedists In this spirit under the umbrella of National Romanian Society of Orthopedics and Traumatology congress which was held this year in Bucharest on 16-18 October we organised an ldquoESSKA - Under 45 sessionrdquo in which members of the U45 ESSKA committee met members of other similar societies (Portugal Netherlands)
At this meeting we focused on sports trauma with three members of our committee giving lectures on diagnostic and treatment of meniscus root tears (Thomas Tischer) anterior cruciate ligament primary repair (Sufian Ahmad)
and meniscal repair (Octav Russu) Another two interesting presentations about return-to-sport after anterior cruciate reconstruction (The Netherlands) and avoiding retrograde drilling in anterior ligament reconstruction (Portugal) closed the session Every author contribution will appear in the Congress book of abstracts
We also had an informal meeting after the conference to exchange experiences about how to collaborate on future publications future projects and plan future meetings We all agreed that hands-on courses are probably one of most effective ways of training residents and we need more of these courses
The Hip Arthroscopy Committee (HAC) aims to provide a robust educational platform for members of ESSKA As hip arthroscopy has become a specialty in Orthopaedic Surgery and Sports Traumatology so has ESSKArsquos interest grown It is well known that hip arthroscopy and hip preservation surgery is quite challenging but valuable for the symptomatic patient In our committee meetings we have developed a list of priorities In order to achieve these ambitious goals we are pursuing several important projects
First we are involved with ESSKArsquos Core Curriculum trying to define basic and advanced competencies around the hip
The Cambridge Hip Course as hosted by Mr Khanduja was supported by ESSKA (as a patron) The mix of didactic teaching from world experts as well as cadaveric sessions helped learners consolidate knowledge More of these types of educational experiences and opportunities will be developed by the HAC and are scheduled for the next year
A wide HAC presence at international meetings is also planned for example at the International Society for Hip Arthroscopy (ISHA) annual meeting an ISHA-ESSKA Hip Symposium is planned (Madrid 2019) This session will enable leading experts from ESSKA to present contemporary surgical techniques and innovative research to a global audience The development of a partnership with ISHA will strongly benefit members of ESSKA now and into the future More collaborations of this type are planned for example the triennial one in planning with EFORT
One of the benefits of being an ESSKA member is the opportunity to attend ESSKA biennial meeting ESSKA next meeting in Milan promises to be a great learning and networking opportunity This meeting will feature instructional course lectures from renowned speakers discussing concepts
that range from basic to advanced keynote lectures from key opinion leaders symposia on innovative topics about the hip This meeting will set the stage for knowledge translation for current and future hip surgeons
For those who cannot travel but still have an appetite for knowledge we have published some general topic articles in past ESSKA newsletters and we are developing a comprehensive hip preservation textbook and a special edition on hip-preservation in an ESSKA affiliated journal in the near future This printed materiel will be supplemented by electronic media and HAC committee members are hard at work developing these projects Please stay tuned for the finished products in the very near futureAlthough budgets are not limitless and there are challenges in getting all this done the HAC is truly up to the task We have received tremendous support from the leadership at ESSKA and this energizes us We believe that education and the exchange of ideas is the key to improving standards of care
2018-2020 MembersChair Filippo Randelli (Italy)Vice-Chair Vikas Khanduja (UK)Past Chair Nicolas Bonin (France)Femi Ayeni (Canada)Ali Bajwa (UK)Panayiotis Christofilopoulos (Switzerland)Sverre Loken (Norway)Christoph Gebhart (Austria)Bent Lund (Denmark)Nestor Zurita (Spain)Oliver Marin-Pena (Spain)Athanasios Papavasiliou (Greece)Andre Sarmento (Portugal)Matti Seppanen (Finland)Dror Lindner (Israel)
From left to right Sufian Ahmad (Germany) Thomas Tischer (Germany)Nanne Kort (The Netherlands) Baris Koc (The Netherlands)
Octav Russu (Romania) and Victor Hugo Teixeira Pinheiro (Portugal)
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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This is a three-stage competition where 24 of the brightest orthopaedic surgeons and residents (of under 30 years) compete to become the first ever ldquoESSKA Master Arthroscopistrdquo
Stage 1 6-7 December 2019 in Milan Italy
The following 24 candidates have been selected by ESSKA Education Committee and will compete in different theoretical and practical tests on knee specimens over two days The evaluation by world-renowned ESSKA Faculty will be intense in keeping with the current high standards
Davide Reale (Italy)Elmar Herbst (Germany)Vasileios Mitrousias (Greece)Nuno Gonccedilalo Figueiredo Pais (Portugal)Axel Schmidt (France)Ewa Tramś (Poland)Hubert Laprus (Poland)Xaver Feichtinger (Austria)Jana Felicitas Schader (Switzerland)Jim Georgoulis (Greece)Lev Kneller (Russia)Louis Courtot (France)Marko Nabergoj (Slovenia)Nina Magnitskaya (Russia)Cedric Depuydt (Belgium)Frane Bukvic (Croatia)Adil Douiri (Switzerland)Afonso Cardoso (Portugal)Azeddine Djebara (France)Jeremy Daxhelet (Belgium)Zoi Kiourka (Greece)Filippo Calanna (Italy) Francesco Luceri (Italy)Jelle van der List (The Netherlands)
Follow the competition on
By stage 2 only six candidates will remain having been chosen to compete in the third and final stage More updates to follow in the next edition of ESSKArsquos Newsletterhellip
ESSKA wishes to thank our corporate partnersand sponsors for supporting this exciting competition
Void Filling in Opening Wedge OsteotomyESSKA Consensus Statement
ldquoWhen should I fill the gap in opening wedge osteotomy surgeryrdquo
ESSKA Master Arthroscopist Competition ndash update
MATT DAWSONOsteotomy Committee Chairman
This is one of the commonest questions asked of the many talented osteotomy surgeons around Europe and beyond Whilst in the last 25 years huge strides have been taken in this reinvigorated sub specialism very few queries will produce such a wide variance in response from such an erudite and skilled assembly of expertsThe indications for osteotomy around the knee have broadened and the planning for surgery has reached hitherto unprecedented levels of sophistication We have embraced PACS annotation 2-D and 3-D software applications computed navigation and more recently patient specific instrumentation in our practices Our better understanding of functional biomechanics at the patient level and the establishment of angle stable plate technology has laid the table with a plethora of desirable options in terms of robust and user-friendly implants and instrumentation We have moved with the times in recognising the importance of governance and outcome with registries such as UKKOR [1]All of these developments are for the benefit of patient surgeon and health economy alikeOur global practice is underpinned by a broad understanding of the evidence from a growing scientific base and a consensus which is propagated through the many excellent courses hosted throughout Europe For instance it is understood that the proper planning of osteotomy surgery is a prerequisite for predictable and successful outcome The answer to the question ldquoShould I invest time and effort into planning surgeryrdquo will yield a binary response with almost 100 in the lsquoyesrsquo camp We get a much different response to the gap filling questionMembers of the osteotomy committee of ESSKA were polled on the above question The response ranged from ldquoalways fill the gaprdquo to ldquoalmost never fill the gaprdquo and between these extremes an individually reasoned but inconsistent reply largely predicated by the size of the gap to be filledSince the landmark work of Alex Staubli regarding the predictable healing of opening wedge HTO there has been ongoing investigation of gap filling in osteotomy For instance one systematic review has categorically advised
against the use of synthetic filler in HTO [2] Renowned experts in Japan and France [34] however regularly use these biocomposites in their practice Some evidence points to the quicker healing of osteotomy with autograft and allograft but questions remain as to the functional benefit in patient outcomes Materials testing results confirm that initial stability is enhanced with gap filling materials [56] but the relevance of this mechanical advantage in an evolving biological healing process raises more questions Questions on clinical value and cost loom large in these days of health care budgets and rationingIt is therefore incumbent on us as experts to invest time and effort into answering the questions raised The broad swathe of opinion suggests the use of void filler has a valid place in osteotomy surgery however large or small There is a need to drill down on the advantages and disadvantages posed by void filling There are many theoretically valid indications for the use of such materials The routine use of graft materials is however unjustifiable to a health economy if there is absolutely no demonstrable benefit This might for example specifically examine the benefit of regularly filling smaller gaps in routine surgeryThe ESSKA osteotomy committee is therefore committed to the forensic investigation of this subject and the provision of a consensus statement which better answers the question
REFERENCES[1] Elson D Dawson M Wilson C Risebury M Wilson A The UK KneeOsteotomy Registry (UKKOR) Knee 2015 Jan 22(1)1-3 [2] Slevin O Ayeni ORHinterwimmer S Tischer T Feucht MJ Hirschmann MT (2016) The role of bone void fillers in medial opening wedge high tibial osteotomy a systematic review Knee Surg Sports Traumatol Arthrosc 24(11)3584-98 [3] Saragaglia D BlaysatM Inman D Mercier N Outcome of opening wedge high tibial osteotomyaugmented with a Biosorb wedge and fixed with a plate and screws in 124patients with a mean of ten years follow up Int Orthop 2011 Aug35(8)1151-6 [4] Takeuchi R Bito H Akamatsu Y Shiraishi T Morishita S Koshino T SaitoT (2010) In vitro stability of open wedge high tibial osteotomy with syntheticbone graft Knee 17(3)217-20 [5] Belsey J Diffo Kaze A Jobson S FaulknerJ Maas S Khakha R Pape D Wilson AJ (2019) The biomechanical effects ofallograft wedges used for large corrections during medial opening wedgehigh tibial osteotomy PLoS One 2019 14(5)e0216660 [6] Belsey J DiffoKaze A Jobson S Faulkner J Maas S Khakha R Wilson AJ Pape D (2019) Graftmaterials provide greater static strength to medial opening wedge high tibialosteotomy than when no graft is included J Exp Orthop 2019 Mar 28 6(1)13
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Education Committee Updates
ESSKA Travelling Fellows Alumni
MARTIN LINDEducational Committee Chairman
ESSKA Fellowship programmes further the education the training and the development of both young and experienced orthopaedic surgeons by enabling them to visit ESSKArsquos Accredited Teaching Centres throughout Europe
This year 2019 we received over 300 applications from 45 different countries for our various fellowships The competition was fierce and we congratulate the successful Fellows These programmes have already started and will be completed by April 2020
We would like to thank the Education Committee for the difficult task of evaluating the applications
Consult our website for information and application advice for all future fellowships
The selected fellows are as follows
ESSKA-APKASS DJO Travelling FellowshipBuru Gilbert Moatshe (Norway)Stefan Mogos (Romania)Vasileios Raoulis (Greece)
ESSKA-SLARD SampN Travelling FellowshipFrancesco Pisanu (Italy)Roman Vlasenko (Ukraine)Saket Tibrewal (UK)
Alwin Jaumlger Senior FellowshipAlan Ivkovic (Croatia)Georgios Kasimatis (Greece)Ilias Bisbinas (Greece)Gustavo Aparicio (Spain)Berte Boe (Norway)
ESSKA Arthrex Osteotomy FellowshipBojan Dojcinovic (Croatia)Philip Pastides (UK)
ESSKA Arthrex Sports Medicine FellowshipAndrea Redler (Italy)Riccardo Cristiani (Sweden)Pablo Carnero Martin de Soto (Spain)
ESSKA Arthrex Stipendiumfor the European Arthroscopy FellowshipStefan Mogos (Romania)
ESSKA SampN International Arthroscopy Fellowship Murat Yesil (Turkey)Sukesh Rao Sankineani (India)Mirko Obradovic (Serbia)Dimitrios Flevas (Greece)Samer Amhaz-Escanlar (Spain)Dan Viorel Nistor (Romania)Steven Kyriacou (UK)Maximiliano Barahona (Chile)Gomez Caceres (Spain)
ESSKA-Chelsea FC Sports Trauma FellowshipMarko Ostojic (Bosnia and Herzegovina)Luca Pulici (Italy)
ESSKA DePuy Knee Arthroscopy FellowshipOleg Adamovych (Ukraine)Federico Bozzi (Italy)Satish Babu (UK)Andriy Rublenko (Ukraine)
ESSKA DePuy Shoulder Arthroscopy FellowshipPrzemyslaw Krakowski (Poland)Ion-Andrei Popescu (Romania)Parag Raval (UK)Costan Lucian (France)
ESSKA-AGA Joint Preservation Travelling FellowshipRavi Popat (UK)
ESSKA-ESA Philippe Hardy Travelling FellowshipEduard Alentorn-Geli (Spain)Felix Dyrna (Germany)Cift Hakan (Turkey)
EKA European Knee Arthroplasty Travelling FellowshipAmy Bowbrick-Garner (UK)David Stelzeneder (Austria) Riccardo Compagnoni (Italy)
A new ESSKA Project is our ESSKA Travelling Fellows Alumni This will comprise all former travelling fellows from ESSKA (to AOSSM APKASS SLARD) and from ESSKA-Sectionsrsquo Travelling Fellowships
The idea is to create a network of former fellows who will become future leaders of ESSKA
And what better way than to launch this project at the ESSKA Milan Congress 2020
When Thursday 7 May 2020 at 1830 hrsWhere Milan Convention Centre (MiCo) ME09 ndash Foyer
The programme will start off with a Fellowsrsquo Reception where we shall listen to the experiences of visiting international fellows from AOSSM and APKASS as well as ESSKA Sectionsrsquo Travelling Fellows
Have you been an ESSKA Travelling Fellow Save the date and connect with us on
and
for further information
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ESSKA NEWSLETTER | 12 19
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ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA SampN International Arthroscopy Fellowship
ESSKA ARTHREX Osteotomy Fellowship
ESSKA ARTHREX Sports Medicine Fellowship
ESSKA-AFAS Pau Golano Research Fellowship
ESSKA-ALWIN JAGER Senior Fellowship
ESSKA-Chelsea FC Sports Trauma Fellowship
ESSKA DePuy Shoulder Arthroscopy Fellowship
ESSKA DePuy Knee Arthroscopy Fellowship
ESSKA-ESA Philippe Hardy European Travelling Fellowship
ESSKA-EKA European Knee Arthroplasty Travelling Fellowship
ESSKA would like to thank its corporate partners and sponsorsfor supporting these 2019 educational programmes
ESSKA Accredited Teachers
ARGENTINAJorge BATISTACentro artroscopico Jorge Batista
AUSTRIAPhilipp HEUBERERVienna shoulder amp sports clinicMichael LIEBENSTEINERMedical University InnsbruckRolf Michael KRIFTEROrthomedicum Graz - Joint CentreThomas MUELLNEREvangelisches Krankenhaus Wien
CZECH REPUBLICVojtech HAVLASDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University in Prague
DENMARKMichael Rindom KROGSGAARDSection for Sportstraumatology M51 Bispebjerg HospitalMartin LINDAarhus University Hospital Div SportstraumatologyMartin RATHCKEBispebjerg Hospital Department of OrthopaedicsSection of Sportstraumatology
EGYPTNasef ABDELLATIFUniversity Cairo Egypt
FINLANDTimo JAumlRVELAumlHospital Mehilaumlinen
FRANCENicolas PUJOLHospital of Versailles Orthopedic Department Le ChesnayDavid DEJOURLyon-Ortho-ClinicStephane GUILLOBordeaux Sports ClinicEtienne CAVAIGNACHopital Pierre Paul Riquet Dpt de chirurgie orthopaediqueNicolas BONINLyon-Ortho-Clinic
GERMANYMaurice BALKESportsclinic Cologne Department of Sportstraumatology Cologne Merheim Medical CenterRoland BECKERCenter of Orthopaedics and TraumatologyMedical School BrandenburgMike H BAUMSSt Elizabeth-Hospital DorstenCarl HAASPERAMEOS Klinikum Seepark Geestland Andreas IMHOFFDepartment of Orthopaedic Sports Medicine Tech University of Munich MunichSebastian KOPFCenter of Orthopaedics and TraumatologyMedical School BrandenburgHermann Otto MAYRDepartment of Knee Hip and Shoulder Surgery Schoen Clinic Munich HarlachingWolfgang NEBELUNGMarienkrankenhaus Dussseldorf - KaiserswerthSven SCHEFFLERSporthopaedicum BerlinSteffen SCHROumlTERBG Trauma Center Tubingen Eberhard Karls UniversityFrank MARTETSCHLAGERDeutsches Schulterzentrum
GREECEEmmanouil ANTONOGIANNAKISHygeia HospitalEmmanouil BRILAKISPrivate Clinic Hygeia hospital - 3rd Orthopaedic DepartmentMichael HANTESUniversity Hospital of LarisaNikolaos KOUKOULIASAgios LoukasAndreas PANAGOPOULOSUniversity Hospital of PatrasOrthiopaedic ClinicDimitrios TSOUKASMIOSMED CenterChristos YIANNAKOPOULOSIASO General HospitalMichael IOSIFIDISOrthoBiology Surgery CentreAndreas PANAGAPOULOSUniversity Hospital of PatrasOrthopaedic Clinic Nikoloas KOUKOULIASAristotle University of Thessaloniki
ESSKA Accredited Teachers and Teaching CentresThe following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation
For Information on becoming an ESSKA Teacher or Teaching Centre see wwwesskaorgEducation
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
HUNGARYGergely PANICSSemmelweis University Dept of Traumatology Uzsoki Hospital Dept of Orthopedics ampTraumatologyLaszlo HANGODYSemmelweis University Dept of Traumatology
INDIADeepak GOYALSaumya Arthroscopy and Sports Knee ClinicSachin TAPASVIThe Orthopaedic Speciality Clinic
IRELANDMihai VIOREANUSports Surgery Clinic Dublin
ITALYSimone CERCIELLOCasa di Cura Villa BetaniaEdoardo MONACOUniversitagrave di Roma La SapienzaPietro RANDELLIUniversitagrave degli Studi di Milano Istituto Ortopedico G Pini Giovanni DI GIACOMOConcordia HospitalGiuseppe MILANOVilla Valeria Clinic Corrado BAITIstituto Clinico Villa ApricaGiacomo ZANONPoliclinico San Matteo
LUXEMBOURGPietro SPENNACCHIOCentre Hospitalier de Luxembourg
THE NETHERLANDSDaniel HAVERKAMPXpert Orthopedie AmsterdamRob JANSSENMaiexclxima Medical CenterEdwoud van ARKELFocusKliniek Orthopaedie HMCDuncan MEUFFELSErasmus MCNanne KORTCortoClinics
NORWAYThomas HARLEMHaraldsplass Deaconal HospitalBerte BOEOslo University HospitalTom LUDVIGSENOslo University Hospital Lars ENGEBRETSENOslo University Hospital
POLANDRoman BRZOSKAIndywidualna praktyka lekarska dr n med Roman BrzoskaLukasz PACZESNYCitomed Healthcare Centre
PORTUGALNuno CORTE-REALHospital de CascaisHelder PEREIRAHospital da Luz Povoa de Varzim Hospital da Luz LisboaNuno SAMPAIO GOMESHospital da Luz ArrAtildeiexclbida - OrtopediaManuel Resende SOUSAHospital da Luz LisboaJoseacute Ricardo Confraria VARATOJOHospital CufDescobertasJoao ESPREGUEIRA-MENDESClinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical CentreHenrique JONESClinica Ortopeacutedica do Montijo and Hospital da Luz SetubalAntonio CARTUCHO PEREIRAHospital Cuf Descobertas
ROMANIATiberiu BATAGAUniversitary Emm Hosp Clinic of Orthopedy Traumatology
SERBIAVladan STEVANOVICInstitute for orthopaedic surgery Banjica
SLOVENIALadislav KOVACICUniversity Medical Centre Ljubljana
SPAINRafael ARRIAZA LOUREDAInstituto Meacutedico Arriaza y AsociadosGonzalo SAMITIERHospital General VillalbaPedro HINAREJOSHospital del Mar - Parc de Salut MarAntonio MAESTROHospital Begontildea - GijonJuan Carlos MONLLAUHospital del Mar and Hospital Universitari DexeusJordi VEGA GARCIAHospital Quiroacuten Barcelona and University of BarcelonaAlbert JIMENEZ OBACHHospital de Mataro Clinica Creu Blanca Silvio VILLASCUSA MARINHospital Fraternidad-Muprespa Habana MardridDragos POPESCUHospital Clinic BarcelonaPablo Eduardo GELBER GHERTNERHospital de la Santa i Sant Pau
SWITZERLANDMatteo DENTIClinica Ars MedicaMichael HIRSCHMANNKantonsspital Baselland (Bruderholz Liestal Laufen)Claudio ROSSOARTHRO Medics and University of BaselJacques MENETREYHirslanden Private Hospital GroupGeert PAGENSTERTMerian-Iselin-Hospital Department of Orthopaedicand Trauma SurgeryPatrick VAVKENAlphaclinic Zurich
TURKEYReya TANDOGANOrtoklinikAlper KAYAAcibadem University Altunizade HospitalMustafa KARAHANAcibadem University Department of OrthopaedicsSukru Sarper GURSUBaltalimani Bone and Joint Diseases Education and Research Hospital
UNITED KINGDOMTanveer ASHRAFThe Royal Orthopaedic HospitalMartyn SNOWThe Royal Orthopaedic HospitalJames CALDERFortius Clinic amp Imperial College London Andrew Michael WILLIAMSFortius Clinic
ESSKA Accredited Teaching Centres
AUSTRIAOrthopaedic Department Evangelisches KH VIENNAThomas MUELLNERMedical University Innsbruck INNSBRUCK Michael LIEBENSTEINERVienna Shoulder amp Sports ClinicHealth Pi Med Cent VIENNAPhilippe HEUBERER
CZECH REPUBLICDepartment of Orthopaedics and Traumatology2nd Faculty of Medicine Charles University PRAGUEVojteck HAVLAS
DENMARKDepartment of Orthopaedics Section of Arthroscopyand Sportstraumatology Bispebjerg-Frederiksberg Hospital COPENHAGENMartin RATHCKEAarhus University Hospital Div Sportstraumatology AARHUSMartin LIND
FRANCEHospital of Versailles Orthopedic department LE CHESNAYNicolas PUJOLBordeaux Sports Clinic BORDEAUXSteacutephane GUILLO
GERMANYDepartment of Orthopaedic Sports MedicineUniversity of Munich MUNICHAndreas IMHOFFSchoen Clinic Munich Harlaching Department of Knee Hip and Shoulder Surgery MUNICHHermann Otto MAYRCenter of Orthopaedics and Traumatology Medical School Theodor Fontane Hospital Brandenburg an der Havel BRANDENBURGSebastian KOPF Department of Orthopaedics Trauma Surgery and sports Traumatology St Elisabeth Hospital DORSTENMike H BAUMS
GREECE University Hospital of Larisa LARISSAMichael HANTES3rd Orthopaedic Department - Hygeia Hospital ATHENSEmmanouil ANTONOGIANNAKIS
ITALYUniversitagrave di Roma La Sapienza Ospedale SantAndrea ROMEEdoardo MONACOGaetano Pini Orthopaedic Institute MILANPietro RANDELLICasa di cura Villa Betania ROMESimone CERCIELLO Villa Valeria Clinic ROMEGiuseppe MILANO
THE NETHERLANDSXpert Orthopedie Amsterdam AMSTERDAMDaniel HAVERKAMP
NORWAY Oslo University Hospital Orthopaedic Clinic OSLOLars ENGEBRETSEN
POLANDSt Lukes Hospital Bielsko BIELSKORoman BRZOSKA
PORTUGALHospital da Luz POacuteVOA DE VARZIMHelder PEREIRAHospital Cuf Descobertas Arthroscopy amp Sports Trauma Units LISBONRicardo VARATOJO Clinica do Dragao - Espregueira-Mendes Sports Centre - FIFA Medical Centre PORTOJoao ESPREGUEIRA-MENDES
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ESSKA NEWSLETTER | 12 19
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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ROMANIAUniversity of Medicine amp Pharmacy Tg-Mures TIRGU-MURESTiberiu BATAGAKnee and Arthroscopy Surgery Teaching Center - University of Medicine and Pharmacy Timisoara TIMISOARARadu PREJBEANU
SERBIAInstitute for orthopedic surgery Banjica BELGRADEVladan STEVANOVIC
SPAINInstituto Meacutedico Arriaza y Asociados A CORUNtildeARafael ARRIAZA LOUREDAParc de Salut Mar Hospital Esperanza BARCELONAPedro HINAREJOSInstituto Asturiano de Traumatologia GIJONAntonio MAESTRO
SWITZERLANDClinica Ars Medica GRAVESANO LUGANOMatteo DENTICentre de Medecine du Sport - Hirslanden Clinique La Colline GENEVAJacques MENETREYKantonsspital Baselland (BRUDERHOLZ LIESTAL LAUFEN)Michael HIRSCHMANN
TURKEYBaltalimani Bone and Joint Diseases Education and Research Hospital ISTANBULSukru Sarper GURSU
UNITED KINGDOMFortius Clinic London UNITED KINGDOMJames CALDER
New ESSKA Books Available in 2020
ESSKA CoursesESSKArsquos Advanced Knee Arthroscopy Course held in Watford UK
ESSKA Instructional Course Lecture Book Milan 2020M Hirschmann E Kon K Samuelsson M Denti amp D Dejour
Shoulder Arthroscopy - Principles and Practice 2nd editionG Milano A Grasso R Brzoska amp L Kovacic
Massive and Irreparable Rotator Cuff TearsFrom Basic Science to Advanced Treatments N Gomes L Kovacic F Martetschlaumlger amp G Milano
360deg around Shoulder InstabilityR Brzoska G Milano P Randelli amp L Kovacic
Hip Preservation Surgery - Open Arthroscopicand Endoscopic TechniquesN Bonin F Randelli amp V Khanduja
Patellofemoral Pain Instability and Arthritis 2nd editionS Zaffagnini D Dejour E Arendt P Sillanpaumlauml amp F Dirisamer
Risk Management and Medical Care in SportsA Guide to Decision-Making W Krutsch H Mayr V Musahl F Della VillaP Tscholl amp H Jones
Lateral Ankle Instability - An International Approachby the Ankle Instability GroupH Pereira S Guillo M Glazebrook M TakaoJ Calder N van Dijk amp J Karlsson
Basketball Sports Medicine and ScienceL Laver B Kocaoglu J Bytomski B ColeA Arundale amp A Amendola
ESSKA members can purchase all ESSKA books at a 25 discount by going to the ESSKA website
ESSKArsquos Advanced Knee Arthroscopy Course - ALL about Meniscus took place on 17-18 October 2019 in Watford UK The faculty and attendees amounted to an impressive 15 nationalitiesThe topics included how to optimise meniscus healing non-traumatic meniscectomy ESSKA degenerative and traumatic meniscus consensus how to suture a ramp lesion meniscal allografts and over 7 hours of lab timeAs with all ESSKA courses the faculty did an outstanding job in sharing their expertise and ESSKA thanks them for their dedication and valuable time
Romain Seil Luxembourg (Co-Course Chairman) Roland Becker Germany (Co-Course Chairman) Mustafa Karahan Turkey Joan C Monllau Spain Sebastian Kopf Germany and Matthieu Ollivier France
ESSKA would like to thank our corporate partner
for supporting this course
Applications are now open for the below 2020 courses
12-13 MarchESSKA Advanced Shoulder Arthroscopy CourseALL about Instability amp OTHER Glenohumeral DisordersWatford UK
5-6 JuneESSKA Advanced Methodology CourseALL about clinical studies and publishingLuxembourg
25-26 JuneESSKA Advanced Shoulder Arthroscopy CourseALL about Rotator Cuff and OTHER Subacromial DisordersCologne Germany
24-25 NovemberESSKA Advanced Knee Arthroscopy CourseALL about PatellofemoralCologne Germany
3-4 DecemberESSKA Advanced Knee Arthroscopy CourseALL about MeniscusWatford UK
To apply go to wwwesskaorgEducationCourses
2020 ESSKA Courses ndash Apply Now
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Our FAQ page will provide many answersIf you still have questions you can contact us at
membershipesskaorg
Do you have Questions about ESSKA Membership
ESSKA European Allograft Initiative ndash a brief updateParticipate in the following surveys from ESSKA members
This newsletter would be incomplete without an update on this important project The reason itrsquos only a short paragraph is that the Consensus Document is in the final stages of editing Eleven Consensus Statements produced by the Steering group have been voted on by a Rating-
Group according to the modified Delphi process and have been agreed at the ESSKArsquos Speciality Days in NovemberSo the message is to watch out for the completed Consensus Paper due for publication in the KSSTA journal ndash THE journal for such a relevant topic
Current surgical preferences and practice patterns regardingprimary ACL repair among ESSKA members
This survey assesses the current surgical preferences and current practice among ESSKA membersregarding anterior cruciate ligament (ACL) treatment and specifically ACL repair
The main focus of this survey is to assess the indications for ACL repairthe current or future technique for ACL repair and rehabilitation following primary repair
The objective is to get a better understanding of the current practice patterns on primary ACLrepair and identify the experience of ESSKA members on this technique
Survey closes 14 December 2019
Hip Arthroscopy Pain Management SurveyThe purpose of this questionnaire is to survey hip arthroscopists
regarding current perioperative analgesia practices with the goal of identifying trendsand eventually establishing an expert consensus
Survey closes 31 January 2020
Recommendations for physical activity after primary total knee arthroplastyAn online web based questionnaire to be sent out to all ESSKA members
The purpose of the study is to find out which physical activities are recommended to patientsafter TKA surgery by their surgeons In addition the point of time in weeks after the surgeryis evaluated for each individual sport activity The aim of the study is to create a consensus
on recommendations based on the results of the online surveySurvey closes 30 April 2020
TIM SPALDINGAllograft Steering Group Chairman
PARTICIPATE
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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ESSKA NEWSLETTER | 12 19
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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ESSKA NEWSLETTER | 12 19
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA NEWSLETTER | 12 19
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More virtual training in Orthopedicsand Sport Traumatology is needed
In the orthopedic world the assessment of surgerymdashits quality-assessmentmdashis becoming more and more important Quality-of-surgery has been suffering because of economic-pressure with less training for doctors and less staff for hospitals Basic training in surgical-skills is crucial for residency programmes But a survey of 918 residents in France reported that 695 of them were incapable of performing arthroscopy without supervision [4] 40 of the respondents had done less than 5 arthroscopies There is an urgent need for well-structured training programs for junior doctors throughout Europe and programmes which use virtual-techniques This idea is not new It has long been used for training anaesthetists Virtual training can be highly standardized and repeatable and gives a better idea of a doctorrsquos performance and his progress Different virtual systems have been introduced in Sports Medicine with fine training equipment for Orthopaedic Surgeons One of them is VirtaMedreg a spin-off company from ETH Zuumlrich Switzerland founded in 2007 to improve the quality of surgical-training especially VirtaMedreg simulators are very realistic because they use the same instruments as an operating room (Fig 1) There are simulated articulations using arthroscopic instruments combined with rubber models and high fidelity graphics All this makes the entire training very realistic The training programme has different modules of increasing difficulty In diagnostic arthroscopy all anatomical structures of the joint have to be visualized The simulator records the time required for the diagnostic arthroscopy and the precision of the surgeonrsquos instruments inside the joint A comparative study using the VirtaMedreg-training tool has shown that during diagnostic arthroscopy time can be decreased from 185 to 1159 sec the camera path-length reduced from 852 to 492 cm
and the hook path-length from 655 to 150cm [2] These are significant improvements Contact with the cartilage which during real arthroscopy means damage to the cartilage is also deducted from the final score When a definite score has been reached the surgeon moves to the next task Because of such practice the surgeon will eventually perform arthroscopy on real patients in the same way but with much more confidence and without thinking how to move the scope or instruments during the procedure Many studies have proven that virtual training is a highly effective tool for improving a residentrsquos ability in handling the camera and instruments in the knee shoulder or hip [1 3 5] Since 2014 ESSKA has run an annual basic arthroscopy course in Istanbul combining lectures motor-skill training using VirtaMedreg simulators and finally arthroscopic surgery on specimens
REFERENCES[1] Bartlett JD Lawrence JE and Khanduja V (2019) Virtual reality hip arthroscopy simulator demonstrates sufficient face validity Knee Surg Sports Traumatol Arthrosc 273162-3167 [2] Baumann Q Hardy A Courage O Lacombes P Accadbled F and Junior French Arthroscopic Society (2019) Lessons taught by a knee arthroscopy simulator about participants in a European arthroscopy training programme Orthop Traumatol Surg Res France DOI101016jotsr201909008 [3] Bouaicha S Epprecht S Jentzsch T Ernstbrunner L El Nashar R and Rahm S (2019) Three days of training with
a low-fidelity arthroscopy triangulation simulator box improves task performance in a virtual reality high-fidelity virtual knee arthroscopy simulator Knee Surg Sports Traumatol Arthrosc Germany DOI 101007s00167-019-05526-y [4] Pioger C Harly Eacute Rattier S Blancheton A Loock E Grob C Baumann Q Pangaud C and Junior French Arthroscopic Society (2019) Arthroscopy training in France A resident perception and self-assessment Orthop Traumatol Surg Res DOI 101016jotsr201909013 [5] Rahm S Wieser K Bauer DE Waibel FW Meyer DC Gerber C and Fucentese SF (2018) Efficacy of standardized training on a virtual reality simulator to advance knee and shoulder arthroscopic motor skills BMC Musculoskelet Disord England 19150
ROLAND BECKERESSKA 1st Vice-President
MUSTAFA KARAHANESSKA Academy Editor
ROMAN SEILESSKA Past President
ESSKA-AOSSM Fellow 2001ESSKA-AOSSM Fellowship Godfather 2019
What it is like to be a Travelling Fellowand then a Travelling Fellowshiprsquos Godfather
The most frequent phrase Irsquove come across in many fellowship reports is the lsquoonce in a lifetime experiencersquo But I was extremely lucky to have a lsquotwice in a lifetime experiencersquo the first in 2001 when I was selected as ESSKArsquos Fellow for the ESSKA-AOSSM tour and the second in 2019 when I had the honour to chair the group as ESSKA past president again for the ESSKA-AOSSM tour
My journey began in the year 2000 when I got the letter of acceptance as a travelling fellow to North America from ESSKArsquos then Educational Secretary Prof PP Mariani from Rome I could not believe that I would be allowed to meet in person with so many champions of our discipline I only knew from the orthopaedic literature Surgeons who had strongly influenced our field of medicine or given their name to a specific procedure or a clinical sign So off we went together with my co-fellows Patrick Djian from Paris and Gianluca Camillieri from Rome under the umbrella of our godfather Pierre Chambat from Lyon the famous knee surgeon In 2001 the program included the following visits Columbus (Georgia) (fig 1) Winston-Salem (North Carolina) Baltimore (Maryland) London (Ontario Canada) Burlington (Vermont) (fig 2) Salt Lake City (Utah) Vail (Colorado) for the meeting of the Herodicus Society and Keystone (Colorado) for the annual meeting of AOSSM
But what was the world like in 2001 Three years before Google was created and the ISS launched The Euro was born a year after Facebook Skype LinkedIn WhatsApp Twitter or Instagram did not exist Photography started to become digital Free Medline access via PubMed was announced in 1997 and scientific journals only existed in their paper versions Communication was done via phone fax and e-mails only The European Union had only 15 countries The GDP of China was 13 billion US$ whereas in 2018 it was 10 times more George W Bush
was president of the USA and the twin towers were still standing Security was not a major issue In Europe many people were happy because travelling without borders had just become a reality (the Iron Curtain came down a decade before the Schengen Treaty which eased internal border checks was incorporated into EU law in 1999) During our fellowship tour we were given a private visit of the Capitol in Washington DC by a former CIA agent bumping by surprise into Senators Hillary Clinton and John McCain Not sure if this would still be possible today Orthopaedic sports medicine was merely limited to North America Western Europe and Japan Women in our specialty were very rare Outpatient surgery was only just beginning ACL registries were still a dream Drilling of femoral ACL tunnels was mostly transtibial but both hamstring tendons and bone patellar tendon bone grafts were widely used While we saw several arthroscopic shoulder stabilization procedures on our tour arthroscopic rotator cuff reconstructions were in their first decade and only performed by some pioneers Hip arthroscopy did hardly exist Nobody talked about the opioid crisis or secondary chondrolysis after intra-articular pain pump use
Eighteen years later the so-called social media is everywhere China has become a superpower Global climate change has become an issue Borders between countries are being strengthened again and security is becoming paramount Our specialty has evolved towards nearly global acceptance and the number of women in orthopaedic sports medicine ndash although still a minority ndash is slowly increasing As a godfather I was extremely happy to travel with a group of very talented surgeon scientists My fellows were Simone Cerciello from Rome Italy Baris Kocaoglou from Istanbul Turkey and Matt Ollivier from Marseille France This time we visited Hershey Baltimore Annapolis Boston for the annual AOSSM meeting
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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Cleveland Memphis Stanford Houston and New York Our hostsrsquo hospitality was overwhelming for which I cannot thank them enough The tour was perfectly organized and outstanding It allowed us to understand the profound social cultural and historical differences existing in the US between the coastlines and the center the North and the South We not only got an insight into US history but our hosts also allowed us to get a glimpse of our future through visits to NASA and plans for the space-industry a visit to Facebook at the forefront of modern communication a visit of the worldrsquos largest lsquoall orthopaedicrsquo hospital HSS in New York and its development plans just to name a few Some of the medical changes have already been mentioned above Unlike in 2001 we saw several arthroscopic rotator cuff reconstructions and hip arthroscopies procedures which have come to their technical maturity ACL surgery has not undergone major changes since our visits in 2001 except that it may be somewhat more anatomic than in the past
Although some of our techniques have evolved over these last 18 years we are still struggling in getting the big picture of many of our diseases and procedures Registries have been created over the last 10-15 years but their implementation into daily practice is still incomplete The complexity of ACL injuries in terms of associated injuries has not been
fully understood yet and we are struggling to reduce the secondary injury rate in youngsters and adolescents Indication for or against surgery in many of the injuries and diseases we treat needs to be better understood as are their natural history and consequences in the long-term But therersquos one thing that remained identical in this 18-years period the friendship and respect between our 2 scientific societies our hostsrsquo tremendous implication to make the fellowship successful the recognition and respect of our past leaders and the deep bond of friendship connecting us through our common profession The similar experiences and challenges we all went through be it during our medical and surgical education in the daily work with our patients the quest for excellence in our scientific work and the leadership engagement with our communitymdashthese all create connections on which it is easy to build These links do not depend on geographical frontiers political or religious convictions They are the glue of friendship and humanity which will always prevail This is probably what the initiators of this outstanding experience the late John Feagin and Werner Muumlller had in mind when they created the fellowship many years ago in Basel Switzerland I can confirm that they succeeded in many ways Thanks to John and Werner for this incredible gift and long live the ESSKA-AOSSM travelling fellowship and friendship
ESSKA-AOSSM DJO Travelling Fellowship 2019
Fellows GodfatherDr Baris Kocaoglu Dr Roman SeilDr Matthieu OllivierDr Simone Cerciello
Host centers7-9 July 2019Penn State Hershey Medical Center Hershey PA9-10 July 2019Johns Hopkins BaltimoreAnnapolis MD10-14 July 2019AOSSM Annual Meeting Boston MA14-17 July 2019Cleveland Clinic Cleveland17-21 July 2019University of Tennessee ndash Campbell Clinic Memphis TN21-24 July 2019Stanford University San Francisco CA24-28 July 2019University of Texas McGovern Medical School and Houston Methodist Hospital Houston TX28-31 July 2019Hospital for Special Surgery New York NY
7-9 July 2019 - Penn State Hershey Medical Center Hershey PAOn 7 July our first stop was Hershey Pennsylvania and our first host was Dr Aman Dhawan After our first Airport Pick-up and our first ldquoTetris-likerdquo Trunk filling game we shared a nice discussion during our travel from Philadelphia to Hershey regarding orthopedic surgery and our fellowship The next day we had the opportunity to see an arthroscopic ACL reconstruction surgery with complex meniscus tear and massive cuff repair from Dr Aman Dhawan and Dr Robert Gallo (Picture 1) And also picked up many interesting tips and tricks We spent the afternoon doing our first US-EU combined scientific meeting where we were shocked by one of the first presentations which focused on the ldquoAmerican Opioid Crisisrdquo and its consequences on surgical outcomes (Picture 2)
9-10 July 2019 - Johns Hopkins BaltimoreAnnapolis MDOn 9 July we visited the civil war museum of Gettysburg none of us (Europeans) really knew all the details surrounding the civil war We then left Hershey and headed to John Wilckensrsquo house in Baltimore and had dinner with the Johns Hopkins Sports Medicine Team
10-14 July 2019 - AOSSM Annual Meeting Boston MAOn 10 July we left to attend Boston AOSSM Congress Once checked in we headed to the AOSSM presidential dinner at JFK National museum ndash which was a once-in-a-lifetime experience (Picture 4) During the congress we all had opportunity to listen to various speeches on hot topics and network with our colleagues On 12 July we participated in the Traveling Fellowship Reception (Magellan Society) and were honored to receive our certificates in front of the Magellan Society (Picture 5) On 13 July we had our first live baseball experience Boston Red Sox versus Los Angeles Dodgers game It was very exciting to taste a kind of American culture
14-17 July 2019 - Cleveland Clinic ClevelandOn 14 July we landed at Cleveland in the evening and picked up by Dr Lutul Farrow (also a past travelling fellow) At the Cleveland Clinic we observed various sports medicine procedures in the morning Hip knee shoulder and elbow surgeries performed by Drs Farrow Rosneck and Schickendantz (Picture 7) In the afternoon we visited the rock-and-roll all of fame and discovered the term RampR was first used by a local DJ - Alan Freed in 1951 The next morning we witnessed Transtibial BTB and Anteromedial
At a reception of the Hughston societyin Columbus (Georgia) in 2001
From left to rightRomain Seil Jack Hughston Pierre Chambat
Patrick Djian Gianluca Camillieri
During a break in the OR sessionin Burlington in 2001
From left to rightGianluca Camillieri Romain Seil Robert Johnson
Patrick Djian and Pierre Chambat
With ESSKArsquos leadership at the Travelling Fellowship reception during AOSSMrsquos Annual
Meeting 2019 in BostonFrom left to right
Baris Kocaoglou Jacques MenetreyRomain Seil David Dejour
Simone Cerciello Matthieu Ollivier
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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Hamstring reconstruction performed by Drs Spindler and Dr Saluan Thereafter we had a scientific meeting where our godfather Prof Romain Seil presented his experience on Pediatric ACL Dr Ciercello - anatomical findings regarding Latarjet procedure Dr Kocaoglu - research projects on FAI and Dr Ollivier - studies on ACL and anterolateral reconstruction surgery (Picture 10) Our Cleveland visit ended with a dinner at Dr Spindlerrsquos home with all the Cleveland residents fellows and seniors and discussed the scientific works of the MOON team on ACL and Meniscus surgeries
17-21 July 2019 - University of Tennessee Campbell Clinic Memphis TNWe landed in Memphis on 17 July afternoon and were greeted by our hosts Dr Fred Azar and Dr Quin Throckmorton The next day we headed to the surgery center (Germantown) At this outpatient facility we observed arthroscopic ACL reconstruction surgeries from Dr Fred Azar as well as Shoulder arthroplasty surgeries from Dr Quin Throckmorton at the Baptist Hospital Collierville (Picture 11) We also had the opportunity to visit Campbellrsquos clinic department of Orthopedics (Picture 12 amp 13) After these wonderful surgeries we had a scientific session On 19 and 20 July we had a sightseeing tour to Graceland Sun Studio Memphis Grizzlies basketball arena and Pyramid At night we all had a dinner at Dr Fred Azarrsquos house and watch a soccer game at 901FC game (soccer) at AutoZone Park
21-24 July 2019 - Stanford University San Francisco CAWe arrived in San Francisco on 21 July and welcomed by Dr Marc Safran The next day we headed to Napa Valley with Dr Geoffrey Abrams Dr Constance Chu and Dr Seth Sherman where we observed wineries and nature and had a 2-hour scientific session (Picture 17) The next morning we observed
many wonderful hip arthroscopy cases from Dr Marc Safran After OR session we had a fantastic tour of Silicon Valley including Facebook and Google companies (Picture 18) Finally we had a tour of the Stanford University Campus with golf cars
24-28 July 2019 - University of Texas McGovern Medical School and Houston Methodist Hospital Houston TXOn 24 July we landed in Houston - the third largest city in the USA After quick refreshments we had a nice dinner with the whole orthopedic senior team The next day the program started with a combined scientific session It was an extraordinary occasion for knowledge sharing with a deep and fascinating discussion with the University of Texas and Houston Methodist Hospital staff In the afternoon we had tour to the NASA Johnson space center (Picture 19) The first day ended with a typical Texas dinner with the staff and the local fellows at the Armadillo restaurant The next morning was dedicated to the OR with several interesting arthroscopic cases under the supervision of Drs Harner Lintner and their staff The discussion on the indications and tips and tricks for different surgical techniques was interesting and stimulating We toured the hospital facilities which is one of the largest in the world After a free afternoon we had a great time at Dr Lowersquos house including a delicious dinner The last day we had the opportunity for a cadaver lab session (Picture 22)
Both the hosts and the ESSKA team had the opportunity to show some surgeries including tibial and femoral osteotomies superior capsule reconstruction open Latarjet PCL reconstruction and ramp lesions repair It was a really nice opportunity to focus on specific surgical procedures in a relaxed and friendly setting We then moved to dr Harnerrsquos house for a ldquobarbecue stylerdquo lunch Late afternoon we had a European experience with our hosts - watching an MLS soccer match
28-31 July 2019- Hospital for Special Surgery New York NYOn 28 July around noon we landed in New York and were picked up by our host Dr Ranawatrsquos The afternoon was a unique moment with ldquoplaygroundrdquo basketball matches where the European team played against the Ranawat family team It was a really friendly time which ended with a nice dinner with Dr Ranawat senior It was a real honor to share moments and thoughts with such a legend of orthopedics The next morning we had a scientific session and a nice discussion with the HSS sports medicine team (Picture 25)
We then had an outstanding tour of the HSS facilities labs and ORs It was impressive to see the deep and precise organization of the hospital which is still ranked as no1 in the USA The afternoon was dedicated to OR observations with dozens of surgeries varying from shoulder arthroscopies sport traumatology of the knee and hip scopes Each of the surgeons (Dr Kelly Dr Strickland Dr Ranawat Dr Marx and Dr OrsquoBrien) were a real master in their area of interest and really dominated all the aspects of such pathologies In the evening we had with a nice walk in Manhattan and a delicious dinner in a NY restaurant with part of the HSS sports medicine team The following day we had a second scientific session and a really deep discussion on interesting topics such as osteotomies around the knee and ramp and roots tears treatment The rest of the morning and early afternoon were dedicated to the OR Our hosts (Dr Warren Dr Altchek Dr OrsquoBrien and Dr MacGillivray) performed other cases related to sport traumatology impressing all of us with their incredible skills The last evening of the fellowship was a real blockbuster with the Broadway show
Wicked It was a real unique experience and the perfect end of such an incredible fellowship Each one of us has brought back lots of new concepts related to our daily practice but additionally nice souvenirs and lots of new friends with whom we can build-up strong connections and long-lasting friendships
We all are thankful to ESSKA AOSSM and DJO for this amazing ldquoonce in a lifetime experiencerdquo As Dr Jacques Menetrey told us during AOSSM Boston meeting ldquoThere are three important events in our life wife child and travelling fellowshiprdquo It is totally true
ESSKA would like to thank
for supporting the scientific segmentsof this travelling fellowship
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ESSKA NEWSLETTER | 12 19
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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ESSKA NEWSLETTER | 12 19
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
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June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
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ESSKA-Chelsea FC Sports Trauma Fellowship 7 April - 28 April 2019 ndash Cobham United Kingdom
Fellow Graeme P Hopper (UK)
I would like to thank everyone involved in the organization of this fantastic fellowship in particular Paco Biosca (Chelsea FC Medical Director) and Jason Palmer (Chelsea FC Head Physiotherapist) but also the entire medical staff at Chelsea FC for making me feel part of the team and ESSKA for offering me the opportunity to participate in this unique fellowship
Cobham Training GroundDuring my fellowship I lived in a comfortable flat which was only a 10-minute walk to the fantastic Cobham Training Ground where I spent the majority of my three weeks
My time at the training ground was split between the first team the academy and the womenrsquos team The academy and womenrsquos medical team began their day with a meeting where they would discuss all of the injured players including their short-term and long-term plans After the meeting I would observe the rehabilitation program for these injured players or attend the morning training sessions The first team medical meeting would take place 90 minutes before the team trained and this was in the afternoon under the current manager which worked out well for me as I could attend most days In addition any injured players who were out on loan at other clubs would return for any periods of rehabilitation therefore I managed to observe their treatment
This fellowship enabled me to increase my knowledge significantly regarding the rehabilitation processes in elite football In particular the importance of functional rehabilitation and the use of hydrotherapy and electrotherapy As the team doctor for Kilmarnock FC and the Scotland Under 21s I was also interested in the medications and equipment that the doctors used as well as the emergency action plans they had in place In addition I managed to have discussions with the sports science team and also find out about the data collection for the UEFA Elite Club Injury Study
Moreover I have a particular interest in the use of platelet rich plasma (PRP) therapy for football related injuries therefore I was glad to find out that there was a lsquoPRP roomrsquo at the training facility It was interesting to observe the variety of injuries that PRP was used for and how effective it seemed to be I would like to thank Paco Biosca for allowing me to observe his methods and also taking time to sit down with me and discuss his rationale and his experience of PRP in the many years he has worked in football
Stamford BridgeDuring my fellowship I managed to attend two Premier League matches when Chelsea entertained West Ham and Burnley Additionally I attended the Premier League 2 match when the Chelsea U23s played Arsenal These games allowed me to experience the roles of the medical team on match days as well as experiencing the role of the tunnel doctor and having discussions with the ambulance crews and stretcher teams
I was also extremely fortunate to be able to bring my family down on the train from Scotland to attend the UEFA Europa League Quarter Final against Slavia Prague which was a fantastic 4-3 victory for Chelsea Chelsea went on to win this competition with a 4-1 victory against Arsenal in the final in Baku
Fortius Surgical Centre and Bupa Cromwell HospitalIt was a privilege to attend the Fortius Surgical Centre during my time in London to spend some time with two experts in the field of football medicine James Calder and Andy Williams My first visit was to the foot and ankle list with James Calder where I witnessed an ATFL repair Achilles repair using the PARS jig and an ankle ORIF in a professional rugby player It was also interesting to discuss the use of bone marrow aspirate concentrate (BMAC) in foot and ankle surgery
I was fortunate to be able to spend two days with Andy Williams one day in the Fortius Surgical Centre and another at the Bupa Cromwell Hospital I managed to observe a variety of operations including an ACL reconstruction using hamstrings with a lateral tenodesis a revision ACL reconstruction a meniscal ramp lesion repair PCL repair and a posterolateral corner reconstruction This also gave me an excellent opportunity to discuss future fellowship opportunities at the Fortius Clinic
Football Medicine Meets the Universe of SportThe fellowship tied in nicely with the Isokinetic Medical Group Conference Football Medicine Meets the Universe of Sport at Wembley Stadium I was fortunate to be able to present my research work at this spectacular venue and attend so many fantastic talks from experts in the field of football medicine
Finally I would like to again thank Chelsea FC and ESSKA for enabling me to go on this exceptional fellowship where I have learned so many new skills and added to my knowledge for my future career in Orthopaedics and Sports Medicine
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ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
76
ESSKA NEWSLETTER | 12 19
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ESSKA NEWSLETTER | 12 19
The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
78
ESSKA NEWSLETTER | 12 19
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
80
ESSKA NEWSLETTER | 12 19
81
ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
70
ESSKA NEWSLETTER | 12 19
71
ESSKA NEWSLETTER | 12 19
Listed below are all ESSKA Affiliated Societiesand a summary of the two newestLIROMS (Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science) andRKA (Russian Association of Knee Joint Surgeons)
ARMENIAAORTA - Association of Orthopaedics Traumatologists and Rehabilitologists of Armenia
BELARUSBAKAST - Belarusian Association of Knee Surgery Arthroscopy and Sports Traumatology
BOSNIA amp HERZEGOVINAAOTBiH - Association of Orthopedistsand Traumatologists in Bosnia and Herzegovina(UOTBiH - Udruženje Ortopeda i Traumatologau Bosni i Hercegovini)
BULGARIABOTA - Bulgarian Orthopaedic and Trauma Association
CROATIACSSTA - Croatian Society for Sports Traumatologyand Arthroscopy
CZECH REPUBLICCSSTA - Czech Society for SportsTraumatology and Arthroscopy(SSTA - Společnost pro SportovniacuteTraumatologii a Artroskopii)
DENMARKSAKS - Danish Society for ArthroscopicSurgery and Sports Traumatology(Dansk Selskab for Artroskopisk Kirurgiog Sportstraumatologi)
ESTONIAEASTS - Estonian Arthroscopy and Sports Trauma Society
FINLANDFinnish Arthroscopy Association
FRANCESFA - French Arthroscopy Society(Socieacuteteacute Francophone drsquoArthroscopie)SFTS - French Society of Sports Traumatology(Socieacuteteacute Franccedilaise de Traumatologie du Sport)
GERMANYDKG - German Knee Society (Deutsche Kniegesellschaft)
GERMANY SWITZERLAND AUSTRIAAGA - Society for Arthoscopy and Joint Surgery(Gesellschaft fuumlr Arthroskopie und Gelenkchirurgie)
GOTS - Society for Orthopaedic and TraumatologicSports Medicine(Gesellschaft fuumlr Orthopaumldisch-Traumatologische Sportmedizin)
GREECEHAA - Hellenic Association of ArthroscopyKnee Surgery and Sports Injuries(EAE - Ελληνική Αρθροσκοπική Εταιρεία)
HUNGARYMAT - Hungarian Arthroscopy Association(Magyar Artroszkoacutepos Taacutersasaacuteg)
ISRAELISKSA - Israeli Society of Knee Surgery and Arthroscopy
ITALY SIA - Italian Arthroscopy Society
SIGASCOT - Italian Society of Knee surgery Arthroscopy Sports Cartilage Orthopaedic Technology
LATVIALAKAS - Latvian Association of Knee SurgeryArthroscopy and Sports Orthopedics
LITHUANIALASTA - Lithuania Arthroscopy and SportsTraumatology Association(Lietuvos Artroskopijos Chirurgų Asociacija)
LUXEMBOURGLIROMS - Luxembourg Institute of Researchin Orthopedics Sports Medicine and Science
NORTH MACEDONIA MAOT - Macedonian Associationof Orthopaedics and Traumatology
NETHERLANDS NVA - Dutch Arthroscopy Society(Nederlandse Vereniging voor Arthroscopie)
NORWAYNorwegian Arthroscopy Association
POLANDPTA - Polish Arthroscopic Society(Polskie Towarzystwo Artroskopowe)
PORTUGALSPAT - Portuguese Society of Arthroscopyand Sport Traumatology
SPOT - Portuguese Orthopaedicand Trauma Society (Knee Section)
ROMANIASRATS - Romanian Society of Arthroscopyand Sports Trauma(Societatea Romacircnă de Artroscopieși Traumatologie Sportivă)
RUSSIAASTAOR - Association of Sports Traumatology Arthroscopists Orthopaedic Surgeonsand Rehabilitation Specialists
RAS - Russian Arthroscopic Society
RKA - Russian Association of Knee Joint Surgeons
SERBIA SES - Shoulder and Elbow Society of Serbia
SLOVENIA SSASST - Slovene Society for ArthroscopicSurgery and Sports Traumatology
SPAIN AEA - Spanish Arthroscopy Association (Asociacioacuten Espantildeola de Artroscopia)
SEROD - Sociedad Espanhola de Cirurgia de Rodilha
SETRADE - Spanish Society for Sports Traumatology (Sociedad Espantildeola de Traumatologiacutea del Deporte)
SWEDENSFAIM - Swedish Society of Sports Medicine(Svensk Foumlrening foumlr Fysisk Aktivitet och Idrottsmedicin)
TURKEYTUSYAD - Turkish Society of Sports Traumatology Arthroscopy and Knee Surgery
UNITED KINGDOMBASK - British Association for Surgery of the Knee
BOSTAA - British Orthopaedic SportsTrauma amp Arthroscopy Association
UKRAINEUASTKA - Ukrainian Association of SportTraumatology Knee Surgery and Arthroscopy
Affiliated Societies CornerOver the last year ESSKA welcomed several new national organisations as Affiliated Societies
bringing the total number to 42
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Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
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ESSKA NEWSLETTER | 12 19
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Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
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ESSKA NEWSLETTER | 12 19
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The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
78
ESSKA NEWSLETTER | 12 19
79
ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
80
ESSKA NEWSLETTER | 12 19
81
ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
72
ESSKA NEWSLETTER | 12 19
73
ESSKA NEWSLETTER | 12 19
Luxembourg Institute of Research in Orthopedics Sports Medicine and Science (LIROMS)
wwwliromslu
The society was first established in 2005 as SLROMS (Socieacuteteacute Luxembourgeoise de Recherche en Orthopeacutedie et en Meacutedecine du Sport) and in 2017 renamed to LIROMS (Luxembourg Institute of Research in Orthopedics Sports Medicine and Science)
This not-for-profit association is based in Luxembourg with the purpose to promote clinical and basic research in orthopaedics and sports medicine
The mission of LIROMS is to deliver scientific economic and societal value for Luxembourg by performing research studies and developments in the fields of sports medicine sports science sports surgery and sports rehabilitation
The goal is to generate new knowledge of mechanisms epidemiology diagnostics and treatment of sports-related human injuries and diseases health benefits of physical activity as well as human performance across the lifespan and for all levels of sports practice
The current President is Prof Romain Seil
Russian Association of Knee Joint Surgeons (RKA)wwwkneesurgeryru
In July 2019 Nikolay Nikolaev Alexey Karpukhin Anatoly Ovsyankin Dmitry Korshunov and Evgeny Paklin of the Chuvashia and Smolensk Regions founded the Russian Association of Knee Joint Surgeons
The main objectives of the society include
bull Improve the availability of professional education and training for doctors of knee surgerybull Improve the level of scientific medical research involving Russian knee surgeons in international scientific researchbull Enhance professional communications between knee surgery specialists in Russian and with foreign colleaguesbull Assist and support the development of regional programmes for the development of traumatology and orthopaedics and their coordination
The current Chairman is Dr Alexey Karpukhin
New Affiliated Societies Affiliated Societies Corner
INFORMATION ABOUT ALL OF ESSKArsquoS AFFILIATED SOCIETIES IS AVAILABLE ON THE ESSKA WEBSITE UNDER
AFFILIATES AFFILIATED SOCIETIES
We are very proud to announce that on July 25th 2019 the two Italian Societies SIA and SIGASCOT joined forces They have created a new body which took the name SIAGASCOT The new Italian Society of Arthroscopy Knee Upper Limb Sport Cartilage and Orthopaedic Technologies gathers heritage and experience from both societies
The mission of SIAGASCOT is to promote education innovation and communication in the national and international community of orthopaedists and of other professionals who work in our field of interest
SIAGASCOT aims to become a point of reference for all those people involved in joint surgery and sports medicine starting their careers and then improving their professional skill and their scientific knowledge Theoretical and practical courses will promote education and research projects under the supervision of leading experts All this will confirm the role of SIAGASCOT amongst the most important of International Societies
SIAGASCOT also wants to promote communication between individuals and groups in Italy and abroad through fellowships and exchange programmes which will provide a solid network of scientific collaboration and friendshipThere will be an Executive Board with an annual Presidency and a five-year leadership career (from 2nd Vice-President to 2nd Past-President) so that every decision will be the result of shared and long-term experience The broad and direct involvement of our Italian membership will monitor the activities of the society
SIAGASCOT hopes for that good mix of science and social-life which has always characterized Italy throughout Europe and the world and which you will see at ESSKArsquos Congress in Milan on 6-9 May 2020We are celebrating this successful merger between SIA and SIGASCOT and founding of brand-new SIAGASCOT at our 1st National Congress SIAGASCOT which will be held in Rome on 24-26 September 2020 so be very welcome at our first meeting
GIUSEPPE MILANOSIGASCOT President 2018-2020
ENRICO GERVASISIA President 2017-2019
74
ESSKA NEWSLETTER | 12 19
75
ESSKA NEWSLETTER | 12 19
Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
76
ESSKA NEWSLETTER | 12 19
77
ESSKA NEWSLETTER | 12 19
The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
78
ESSKA NEWSLETTER | 12 19
79
ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
80
ESSKA NEWSLETTER | 12 19
81
ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
74
ESSKA NEWSLETTER | 12 19
75
ESSKA NEWSLETTER | 12 19
Lyonesian Knee Surgery Days in Brazil29ndash31 August 2019 in Rio de Janeiro Brazil
The ldquoLyonesian Knee Surgery Days in Brazilrdquo from the 29th to the 31st of August in Rio de Janeiro was once again a great knee surgery event bringing together 604 participants in three days of learning improvement debate and exchange-of-ideas between Brazil and France as well as colleagues from countries like Germany Portugal and Peru who came as speakers and all the most experienced Brazilian knee surgeons Among the enrolled there were doctors also from Chile Uruguay Paraguay and French Guiana
This IXth Lyonesian event gave a Review of Total Knee Arthroplasty a topic that attracts attention due to the growth of knee prosthesis surgeries A major highlight was the Edited Surgeries an interactive activity which allowed participants to question and give their opinion about surgical steps
Each module allowed discussion of the topics at the end and this proved very useful for doctors in the audience Not to mention the many extra activities such as the pre-congress and the symposia which were always packed It was a great meeting
36th Annual AGA Congress 2019 ndash 360deg perspectiveon arthroscopy and joint surgery
12ndash14 September 2019 in Mannheim Germany
It began on 11 September with the Cycling for Joints Tours (30 70 and 110 km) with AGArsquos Board and the Congress Presidents taking part The three groups joined outside the city for the final stage and theyarrived safely ndash accomopanied by three police motorbikes and two police cars - at the congress venue where they were greeted by fans and congress visitorsProfessor Hermann Mayr (Munich) was announced Honorary Member during the AGA Members Meeting departing Board Members were acknowledged for their long-term work and dedication to AGA and the new AGA President Philipp Heuberer (Vienna) was electedThe programme featured one hall with an impressive round 360deg stage enabling interaction through short introductions and extensive periods of discussionAnother hall focused on live surgical videos Guest societies research sessions AGA Students and AGA Residents sessions as well as e-posters added to the programmeAGA also offered a half-day-programme for the public on prevention of osteoarthritis and sports injuries Here AGArsquos new web portal bdquoUnderstanding Arthroscopyldquo (wwwarthroskopie-verstehende) was announcedAGA is already looking forward to the next annual Congress to take place in Davos Switzerland on 17-19 September 2020
Recent Events
Serod Practical Course on Knee ArthroscopyMarch 2019 ndash Barcelona Spain
There is at the moment a considerable variation amongst training programmes and courses for orthopaedic surgeons Cadaveric-skills laboratories are used outside the operating room to improve a residentrsquos performance in knee arthroscopyAccording to SERODs objective of improving the training of knee arthroscopy the Practical Course on Knee Arthroscopy aimed at fifth year residents was begun in March 2018 This course directed by Dr Juan I Erquicia and Dr Sergi Gil and coordinated by Dr Xavier Pelfort attracted 24 residents from all over the country Students were assessed at the beginning and end of the course in order to assess their improvement To this end tests were carried out such as an arthroscopic route where 10 structures had to be seen There were also videos of surgical techniques which were sent to the students before and they had to deal with subjects such as cruciate ligament reconstruction and meniscal surgery which were fundamental topics for the residents When they finished the course the final evaluation demonstrated a large improvementIn March 2019 we held the second course and because of its successmdashwith some residents left on the waiting list--it was decided to organize a third course (in March 2020) with 24 students in their last year of residence and simultaneously to organize an advanced course with 12 students (residents or staff) In addition a prospective study was carried out covering a total of forty-six residents After completion of the course a significant improvement in the score of all the parameters analysed was observed A ldquostatistically significant correlationrdquo was found between the initial evaluation regarding the months of rotation of the student in the knee unit of his Hospital (p = 0023) and the performance of a greater number of previously performed arthroscopies (p = 004)This proved that practical cadaveric courses can significantly improved the technical skills of surgeons in training
SETRADE 13th Biennial Congress 25ndash26 April 2019 in Palma de Mallorca Spain
ldquoSports injuries are usually due to overloadWe are taking the body to the limit rdquo
The Spanish Society of Sports Traumatology (SETRADE) held in April its 13th biennial congress with the participation of Dr Michael Hantes ESSKA General Secretary and together with other international experts Dr Laprade (USA) knee surgeon Dr Llizaliturre (Mexico City) hip arthroscopy specialist Dr Ramon Llull stem cell specialist Dr Nyland (USA) rehabilitator Dr Carla Stecco (Italy) fascia specialist Dr Tencone (Italy) director of ISOKINETIC etcAt the national level Dr Mikel Saacutenchez Dr Juan D Ayala Dr Pedro Guillen Dr Jordi Ardegravevol among others have attendedThe increase of physical injuries amongst elite athletes shows that something serious is happening in professional sport Recent statistics show that half of athletic injuries are the result of overloads that is of excessive trainingldquoThe most frequent are injuries due to overload that is due to over-exertion We are taking the body to the limit rdquo explains Dr Bartolomeacute Munar Pons President of the Organizing Committee during the official presentation of the CongressWe believe that it has been a very relevant Congress from the scientific point of view and we invite all ESSKA members to attend our next Congress to be held in Malaga in May 2021
76
ESSKA NEWSLETTER | 12 19
77
ESSKA NEWSLETTER | 12 19
The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
78
ESSKA NEWSLETTER | 12 19
79
ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
80
ESSKA NEWSLETTER | 12 19
81
ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
76
ESSKA NEWSLETTER | 12 19
77
ESSKA NEWSLETTER | 12 19
The congress was also an opportunity to meet old friends and make new acquaintances laying the groundwork for future scientific collaboration We have had a tremendously positive feedback from the congress participants on the quality of the scientific presentations and the organisation of the congress
Hungarian Arthroscopy Associationrsquos Symposium 18ndash19 October 2019 in Visegraacuted Hugary
The biennial Arthroscopy symposium was organised in the scenic city of Visegraacuted The members of the Hungarian Arthroscopy Association gathered for a 2-day meeting which had received ESSKA patronage It was a honour for us to host the well-known Austrian scientist Dr Christian Hoser from Innsbruck Dr Hoser gave three different talks on ACL reconstruction anatomy and return to sport issues The scientific programme covered all major jointsrsquo most interesting arthroscopic topic several mini battles tried to convince the audience about optimal treatment methods graft choice etc The scientific programme included some economical issues as well it was intersting to see how arthroscopic procedures are financed in different EE countries and what are the major differences In summary thanks to the ESSKA patronage it was a high scientific level very useful symposium for the Hungarian arthroscopic surgeons
From left to right Dr Christian Hoser and Andraacutes TaacutellayPresident of the Hungarian Arthroscopy Association
Polish Arthroscopic Society Congress24ndash26 October 2019 in Katowice Poland
The 3rd Polish Arthroscopic Society Congress was held on 24-26 October 2019 The Society was established in 2015 and is the biggest organisation in Poland that brings together people interested in arthroscopic techniques The Congress took place in Katowice which is a heart of Silesia in southern Poland ESSKA President David Dejour lead the opening patellofemoral session along with Elizabeth Arendt Petri Sillanpaumlauml and Lars Blond More than 800 orthopedic surgeons residents physiotherapists and operating-theater attendants have gathered at the International Conference
Special thanks are extended to ESSKA 1st Vice-President Jacques Menetrey and ESSKA-ESA Section Board member Emmanouil Antonogiannkis who represented ESSKA at the event by sharing their experience knowledge and insight in their fields of specialisation
14th Turkish Sports TraumatologyArthroscopy and Knee Surgery Congress
2ndash6 October 2018 in Antalya Turkey
The 14th Turkish Sports Traumatology Arthroscopy and Knee Surgery Congress held in Antalya on 2-6 October 2018 was a great success with around 400 registered participants The scientific agenda involved four halls and covered 98 conferences 39 panels 15 training courses 1 live surgery on cadaver and 97 oral presentations This Congress was held under the presidency of Prof Merter Oumlzenci and the honorary presidencies of Prof Ramon Cugat and Prof Semih Guumlr The biannual Turkish Arthroscopy congresses have always had a strong international participation and this tradition continued with the scientific support of ESSKA and EFOST with 9 invited international speakers from all over the world The Programme Committee prepared a wonderful scientific programme featuring experts and leaders from diverse fields The Congress also hosted a half-day shared programme with sports medicine physicians and physiotherapists
GOTS EXPERT MEETING Prevention 19ndash22 September 2019 in Canach Luxembourg
The 6th GOTS Expert meeting discussing the topic ldquoPrevention of sports injuriesrdquo took place in Canach Luxembourg from 19 to 22 September 2019 30 physicians discussed in several groups important topics of the field of prevention like epidemiology of sports injuries economy methodology as well as the evidence of prevention of injuries of the knee hip and ankle In addition future hot spots of scientific research special aspects of prevention for children and teens as well as the implementation of prevention activities in specific sports disciplines were reviewed As a result of the meeting GOTS will publish the completed guidelinesrecommendations for the prevention of sports injuries
Besides the scientific work different bicycle tours were offered to the historical centre of Schengen In front of the monument of the Schengen agreement are the GOTS-president Romain Seil Stefan Nehrer und Martin Engelhardt At the border triangle of Luxembourg France and Germany the GOTS leadership symbolizes its active commitment to the European Union and the values it lives by peace freedom of speech and science freedom and transnational cooperation - thats also what GOTS stands for
Arthroscopy Conference 201920 September 2019 in Klaipeda Lithuania
The largest annual arthroscopic surgeonsrsquo meeting in Klaipeda Lithuania was held on 20 September 2019 with 150 participants from Lithuania Latvia and UkraineThe programme focused on knee and shoulder pathology During the event Markas Fiodorovas was elected as President of the Lithuanian Arthroscopy and Sports Traumatology Association (LASTA) for the next 2 years
Center to talk about arthroscopy and joint preservation The scientific agenda focused on summarizing latest operative techniques the current state of knowledge and possible paths in the future treatment of joint pathologies Over the course of three days 33 scientific sessions with more than 150 lectures and eight instructional course lectures took place On the day before the Congress all the die-hard athletes attended a basketball match with a guest player Professor Niek van Dijk The other attractions on the coming up days were the music of mining brass band at the Welcome Reception and Gala Dinner in the Silesian Museum
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Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
80
ESSKA NEWSLETTER | 12 19
81
ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
78
ESSKA NEWSLETTER | 12 19
79
ESSKA NEWSLETTER | 12 19
Forthcoming Events
ESSKA COURSES amp EVENTS
ESSKA Master Arthroscopist Competition (Round 2)6-7 March 2020 ndash Milan Italy
ESSKA Master Arthroscopist Competition (Round 3)5 May 2020 ndash Milan Italy
ESSKA 19th Biennial Congress6-9 May 2020 ndash Milan Italy
PATRONAGE EVENTS
ESSKA OFFERS PATRONAGE FOR COURSES MEETINGS AND
EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS
EVENTS THROUGH MAY 2020 WHICH HAVE RECEIVED
PATRONAGE INCLUDE THE FOLLOWING
4th Athens Shoulder Course5-8 February 2020 ndash Athens Greece
5 Innsbrucker Instabilitaumltskurs07-08 February 2020 ndash Innsbruck Austria
3rd International Sonosurgery Symposiumamp Cadaver Lab (SETRADE)07-08 February 2020 - Barcelona Spain
Basel Elbow Course14-15 February 2020 ndash Basel Switzerland
IV International Meeting of Arthroscopic Surgeryof Rodilla Knee and Sports (Jicar 2020)20-21 February 2020 ndash Malaga Spain
2nd Edition ndash Rome Shoulder CourseRevision and Difficult Cases21 February 2020 ndash Rome Italy
Egyptian Arthroscopy Association (EGAA)8th International Congress25-27 February 2020 ndash Cairo Egypt
IOC World Conference ndashPrevention of Injury and Illness in Sport12-14 March 2020 ndash Monaco
11th Turkish National Congressof Shoulder and Elbow Surgery01-04 April 2020 ndash Antalya Turkey
SRATS Congress 202002-04 April 2020 ndash Bucharest Romania6th International Knee Update 202002-05 April 2020 ndash Davos Switzerland
Das degenerative Kniegelenkvon der Umstellung bis zur Knieprothese16-17 April 2020 ndash Innsbruck Austria
Combined Orthopaedic Knee Societies2020 Annual Meeting hosted by BASK16-17 April 2020 ndash Oxford United Kingdom
10th Symposium Shoulder and Elbow Society of Serbia21-22 May 2020 ndash Belgrade Serbia
Foot and ankle Arthroscopy SportsTraumatology course (FAST)25-26 May 2020 ndash Amsterdam The Netherlands
XIV-th Conference f BAASTX-th International Symposium of BOTA28-30 May 2020 ndash Varna Bulgaria
SRATS Basic Knee Arthroscopy and Basic Knee Arthroplasty Course 29-31 May 2020 ndash Tg-Mures Romania
6th Knee Arthroscopy and ArthroplastyInternational Course-Advance (SRATS)29-31 May 2020 ndash Tg-Mures Romania
OTHER EVENTS - INTERNATIONAL
SLARD Annual Meeting 202012-14 March 2020 ndash Vintildea del Mar Chile
AAOS Annual Meeting24-28 March 2020 ndash Orlando Florida USA
AANA Annual Meeting 20207-9 May 2020 ndash Grapevine Texas USA
IMPORTANT DETAILS FOR SUBMISSIONLength +-1200 wordsImageschartsgraphs must be sent as a high resolution attachment and not copypasted into a Word documentReview process All submissions will be reviewed by the Newsletter Editors and selected submissions with be published in a subsequent issueSend articles or questions to Graham Woolwine ESSKA Communications
ESSKArsquos Newsletter regularly includes scientific articles about new techniques new feelings and original ideas in the orthopaedic field
We encourage all ESSKA residents fellows researchers and orthopaedic surgeons to submit their work for publication
The format is less formal than for a peer-reviewed journal and originality is very welcome
WE ARE WAITING FOR YOUR IDEAS AND WORK
Roland Becker and Octav RussuESSKA Newsletter Editors
The ESSKA Newsletter wants your scientific input
Are you doing research in orthoregeneration
Apply for ESSKA-ON kick-starter grantRole of regenerative therapies and biologics in post-traumatic and post-surgical treatment of meniscus or labrum injuries
Apply here wwwmyon-foundationorgGrants
Questions Email us at jeoesskaorg
80
ESSKA NEWSLETTER | 12 19
81
ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
80
ESSKA NEWSLETTER | 12 19
81
ESSKA NEWSLETTER | 12 19
June4-7
2020
TURKISH SPORTS TRAUMATOLOGYARTHROSCOPY AND KNEE SURGERY(TUSYAD) CONGRESS
CAPPADOCIA - TURKEY
wwwtusyad2020org
Dutch Arthroscopic Society6th Lustrum Congress
4amp5 June 2020 - The Netherlands
For more information and registrationplease go to wwwscopieorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg
ESSKA NEWSLETTER | 12 19
85
wwwesskaorg
Warmest thoughts and best wishes for a wonderful holiday and a
appy New Yea
The ESSKA Executive Board and the ESSKA Office
Keep up to date on what is going on at ESSKA by following us on
Facebook LinkedIn and Twitter and subscribe to our YouTube channel to see the latest videos
FOLLOW ESSKA
FOLLOW AFAS
FOLLOW ESSKA FOLLOW SUBSCRIBEFOLLOW
FOLLOW ESA
FOLLOW EKA
FOLLOW ESMA
wwwesskaorg